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March 21, 2026Journal of Minimal Access SurgeryOpen Access

Faster, safer and easier: A randomised study on the outcomes of polymeric clips for appendicular stump management

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Authors

TATanmay AroraAJAtul JainLBLalit Kumar Bansal

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Overview

A randomised controlled trial compares efficiency and safety of polymeric clips and Endoloop ligatures in patients undergoing laparoscopic appendectomy, suggesting a better alternative.

Key Points

  • The study aims to compare the effectiveness and safety of self-locking polymeric clips versus Endoloop ligatures for closing the appendiceal stump during laparoscopic appendectomy.
  • Conducted a prospective randomised controlled trial with 50 adult patients
  • Patients were divided into two groups for stump closure: one using Endoloop ligatures and the other self-locking polymeric clips
  • Primary outcomes measured were intra-operative time and ease of application using the Single Ease Question (SEQ) score
  • Secondary outcomes included post-operative complications and length of hospital stay
  • The self-locking clip group had significantly shorter operative times by an average of 9.04 minutes compared to the Endoloop group
  • Higher SEQ scores in the clip group (6.1) versus Endoloop group (4.6) indicated easier application
  • No significant differences in post-operative complications or hospital stay between the two groups

Cite This Study

Arora et al. (2026) studied this question.

synapsesocial.com/papers/69be38ee6e48c4981c679abahttps://doi.org/10.4103/jmas.jmas_363_25
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Comprehensive Complication Index2013 · 1,797 citations
  2. 2Single-incision Laparoscopic Surgery (SILS) in General Surgery2010 · 92 citations
  3. 3Closure of the appendiceal stump in laparoscopic appendectomy: A systematic review of the literature2020 · 46 citations
  4. 4Evolution of Laparoscopy through the Ages2017 · 3 citations