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July 3, 2026BMC SurgeryOpen Access

Handmade loop ligation versus Hem-o-lok clip closure for appendiceal stump management in laparoscopic appendectomy: a propensity score–matched study with direct material cost analysis

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Authors

ACAhmet CakcakMEMurathan ErkentBaşkent UniversitySKSamra KamilovaBaşkent University

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Overview

Randomized trial compares cost and outcomes of two closure methods for appendiceal stump management.

Key Points

  • This study aims to compare the perioperative outcomes, complications, and costs of two methods for appendiceal stump management during laparoscopic appendectomy.
  • Retrospective cohort study with 695 adult patients undergoing laparoscopic appendectomy.
  • Patients matched one-to-one by propensity score based on clinical factors.
  • Direct material costs calculated using institutional unit prices.
  • No significant differences in operation time, hospital stay, or postoperative complications between groups.
  • Drain placement was more frequent in the handmade loop group, 17.1% vs. 0% (p = 0.025).
  • Direct material cost was significantly lower for handmade loop ligation (75 TL) compared to Hem-o-lok (570 TL).

Cite This Study

Cakcak et al. (2026) studied this question.

synapsesocial.com/papers/6a4750f45c29257aa25786cbhttps://doi.org/10.1186/s12893-026-03977-y
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Handmade Loop Versus Hem-o-Lok Clip in Closure of Appendiceal Stump During Laparoscopic Appendectomy: Limited Setting in a Peripheral University Hospital2024 · 2 citations
  2. 2Extracorporeal loop, Hem-o-lok clip, and Endostapler for Appendiceal Stump Closure in Laparoscopic Appendectomy: a Retrospective Cohort Study2026
  3. 3Comparative Effectiveness and Safety of Hem-o-Lok® Clips Versus Endoloops for Appendiceal Stump Closure in Laparoscopic Appendectomy: A Randomized Controlled Trial in a Tertiary Care Center in Eastern Uttar Pradesh, India2026
  4. 4Comparative effectiveness of stump closure methods during laparoscopic appendectomy: a systematic review and network meta-analysis of randomized controlled trials with CINeMA assessment2026
  5. 5Single versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial2024 · 1 citations