Comparative Study of Polymetric Clips (Hem-o-Lok) Versus Historical Endoscopic Staplers for Laparoscopic Appendectomy



Status:Completed
Conditions:Gastrointestinal
Therapuetic Areas:Gastroenterology
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:April 2013
End Date:October 2014

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The purpose of this study is to compare the clinical outcomes and the operative costs of
appendectomy performed with the Hem-O-Lok polymetric clips compared to endoscopic staplers.
Prospective data will be collected before, during, and after surgery on patients undergoing
a laparoscopic appendectomy that have the Hem-o-Lok ® stapler used to close the stump after
the appendix is removed. Use of the Hem-o-Lok ® stapler is standard for appendectomy
patients at Duke Regional Hospital. Retrospective data will be collected from patients who
had an appendectomy prior to 1/2012 using a different clip as part of their surgery, or an
open appendectomy to compare outcomes.


Inclusion Criteria:

1. 18 years of age or older

2. scheduled to undergo a laparoscopic appendectomy because of a diagnosis of
appendicitis based on clinical history or radiographic imaging.

Exclusion Criteria:

1. Less than 18 years of age

2. Signs of appendiceal rupture or abcess on preoperative imaging studies (CT or
ultrasound)

3. Inability to provide informed consent
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