Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system

Emrah ŞENEL; Fatih AKBIYIK; Halil Faruk ATAYURT; Hüseyin Tuğrul TİRYAKİ

Makale detayları

Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system

Yazarlar:

Emrah ŞENEL | Fatih AKBIYIK | Halil Faruk ATAYURT | Hüseyin Tuğrul TİRYAKİ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2010 Vol.40 Issue 5, pp.757-760

Belge Tipi:

Makale

Yayın Tarihi:

4/2010

Belge Dili:

Türkçe

Document ID (Org No.):

2000754963

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Anahtar kelimeler:

Özet:

 

Various technique and different instruments like endoscopic stapler, endoscopic clip, monopolar cautery, harmonic scalpel, and bipolar vessel sealer can be used in the dissection of appendix mesentery when performing laparoscopic appendectomy. The aim of this study is to evaluate the effects of using monopolar cautery and bipolar vascular sealing instruments in the dissection of mesentery of appendix on the duration of the operation of pediatric patients.   Materials and methods: Sixty three patients, operated laparoscopically for acute appendicitis in between June 2008 and June 2009 at the Pediatric Surgery Clinic of Dışkapı Children's Hospital, are evaluated retrospectively. Monopolar cautery was used in 25 patients and bipolar vessel sealer was used in 38 patients. No intraoperative or postoperative complication was seen in any of the patients. None of the patients required conversion to open surgery due to dissection problems of the appendiceal mesentery.    Results: The mean duration of operation was 51.08 min in the monopolar cautery group whereas 36, 68 minutes in the bipolar vessel sealing system group.   Conclusion: In children, comparing to monopolar cautery, bipolar vessel sealer can be used effectively and safely in the dissection and hemostasis of appendiceal mesentery and is definitely an effective system in decreasing the operation time.

 

Various technique and different instruments like endoscopic stapler, endoscopic clip, monopolar cautery, harmonic scalpel, and bipolar vessel sealer can be used in the dissection of appendix mesentery when performing laparoscopic appendectomy. The aim of this study is to evaluate the effects of using monopolar cautery and bipolar vascular sealing instruments in the dissection of mesentery of appendix on the duration of the operation of pediatric patients.   Materials and methods: Sixty three patients, operated laparoscopically for acute appendicitis in between June 2008 and June 2009 at the Pediatric Surgery Clinic of Dışkapı Children's Hospital, are evaluated retrospectively. Monopolar cautery was used in 25 patients and bipolar vessel sealer was used in 38 patients. No intraoperative or postoperative complication was seen in any of the patients. None of the patients required conversion to open surgery due to dissection problems of the appendiceal mesentery.    Results: The mean duration of operation was 51.08 min in the monopolar cautery group whereas 36, 68 minutes in the bipolar vessel sealing system group.   Conclusion: In children, comparing to monopolar cautery, bipolar vessel sealer can be used effectively and safely in the dissection and hemostasis of appendiceal mesentery and is definitely an effective system in decreasing the operation time.

Makale detayları

Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system

Yazarlar:

Emrah ŞENEL | Fatih AKBIYIK | Halil Faruk ATAYURT | Hüseyin Tuğrul TİRYAKİ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2010 Vol.40 Issue 5, pp.757-760

Belge Tipi:

Makale

Yayın Tarihi:

4/2010

Belge Dili:

Türkçe

Document ID (Org No.):

2000754963

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Key words: Monopolar cautery

vascular sealing system

laparoscopy

appendectomy

Sayı

Makale detayları

Dissection of mesoappendix in laparoscopic appendectomy: a comparison of monopolar cautery and bipolar vessel sealing system

Yazarlar: Emrah ŞENEL | Fatih AKBIYIK | Halil Faruk ATAYURT | Hüseyin Tuğrul TİRYAKİ

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2010 Vol.40 Issue 5, pp.757-760

Belge Tipi: Makale

Yayın Tarihi: 4/2010

Belge Dili: Türkçe

Document ID (Org No.): 2000754963

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Key words: Monopolar cautery

vascular sealing system

laparoscopy

appendectomy

Sayı

Yazarlar:

Emrah ŞENEL | Fatih AKBIYIK | Halil Faruk ATAYURT | Hüseyin Tuğrul TİRYAKİ

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2010 Vol.40 Issue 5, pp.757-760

Belge Tipi:

Makale

Yayın Tarihi:

4/2010

Belge Dili:

Türkçe

Document ID (Org No.):

2000754963

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144