Background: Studies showed that using Harmonic scalpel for devascularization of the mesoappendix in laparoscopic appendicectomy (LA) is quick and safe. However, in order to reduce the cost of the procedure, endo-clips or monopolar electrocautery are considered cheaper alternatives. The aim of our study was to evaluate the use of intra-corporeal ligation as an alternative safe and cost-effective way to devascularize the mesoappendix. Methods: The study included 180 patients who were randomly divided into three equal groups: Group 1 (Intracorporeal ligation of mesoappendix combined with monopolar diathermy), group 2 (Division of mesoappendix by Harmonic scalpel), and group 3 (division of mesoappendix by monopolar diathermy). All groups were compared regarding operative time, rate of conversion to open, intra-operative bleeding, postoperative pain, length of hospital stay (LOS), postoperative complications and the cost of consumables used. Results: There was a statistical significant intra-operative bleeding in groups 2 and 3 compared to group 1. The cost of consumables used in group 1 were significantly cheaper compared to using Harmonic scalpel . There was no significant difference regarding the rest of the parameters. Conclusion: Intra-corporeal ligation of the mesoappendix is safe and cost-effective when compared to the use of Harmonic scalpel or monopolar diathermy alone.
Elgohary, H., Mikhael, R., & ElAbbassy, I. (2022). Evaluation of Intra-corporeal Ligation of the Mesoappendix during Laparoscopic Appendectomy versus the Use of Energy Devices: A Comparative Study. Ain Shams Journal of Surgery, 15(2), 117-124. doi: 10.21608/asjs.2022.246359
MLA
Hatem Elgohary; Ramy Mikhael; Islam ElAbbassy. "Evaluation of Intra-corporeal Ligation of the Mesoappendix during Laparoscopic Appendectomy versus the Use of Energy Devices: A Comparative Study". Ain Shams Journal of Surgery, 15, 2, 2022, 117-124. doi: 10.21608/asjs.2022.246359
HARVARD
Elgohary, H., Mikhael, R., ElAbbassy, I. (2022). 'Evaluation of Intra-corporeal Ligation of the Mesoappendix during Laparoscopic Appendectomy versus the Use of Energy Devices: A Comparative Study', Ain Shams Journal of Surgery, 15(2), pp. 117-124. doi: 10.21608/asjs.2022.246359
VANCOUVER
Elgohary, H., Mikhael, R., ElAbbassy, I. Evaluation of Intra-corporeal Ligation of the Mesoappendix during Laparoscopic Appendectomy versus the Use of Energy Devices: A Comparative Study. Ain Shams Journal of Surgery, 2022; 15(2): 117-124. doi: 10.21608/asjs.2022.246359