A New Knot Pusher Used in Laparoscopic Appendectomy; Karman Cannula

Year 2020, Volume: 10 Issue: 1, 23 - 27, 16.03.2020

Barış Mantoğlu , Fatih Altıntoprak , Emre Gönüllü Emrah Akın Kayhan Özdemir , Ali Muhtaroğlu

https://doi.org/10.31832/smj.638492

Abstract

Objective:
Laparoscopic
appendectomy is now becoming the gold standard for the treatment of acute
appendicitis. Besides, high-cost devices used during the process, the
reliability, availability, and cost of the materials used in closing the
appendix stump are also important. In this study, we aim to prove that the
appendix stump can be secured reasonably and effectively by the guidance of the
Karman cannula with a hand-prepared knot.

Materials
and Methods: In our descriptive
study, the Karman cannula used as a knot pusher which can be easily found in
every operating room in laparoscopic appendectomies performed between March
2018 and September 2018 in our clinic.

Results:
157 males (64,9%) and
85 females (35,1%) included in the study. All patients underwent laparoscopic
appendectomy, and the mean operation time was 31.9 ± 10 minutes. All patients discharged on the first
postoperative day. Surgical site infection observed in five (2%) patients.

Conclusion:
The Karman cannula can be used as a safe and
inexpensive knot pusher in laparoscopic appendectomies

Keywords

Laparoscopic Appendectomy, Knot Pusher, Karman Cannula

Laparoskopik Appendektomide Yeni Bir Düğüm Oturtucu; Karman Kanülü

Abstract

Giriş: Laparoskopik
apendektomi günümüzde, akut apandisitin tedavisinde altın standart olma yolunda
ilerlemektedir. Bunun yanı sıra işlemin gerçekleşmesi sırasında maliyeti yüksek
cihazlar kullanılmaktadır. Apendiks güdüğünün kapatılması noktasında da
kullanılan malzemelerin güvenirliliği, bulunabilirliği ve maliyeti önem arz
etmektedir. Bu çalışmada, apendiks
güdüğünü elle hazırlanmış düğüm ve Karmen kanülünü düğüm oturtucu olarak
kullanarak, apendiks güdüğünün güvenli bir şekilde kapatılabileceğini
göstermeyi amaçladık.

 

Gereç ve Yöntemler: Tanımlayıcı
türde  olan çalışmamızda, kliniğimizde
Mart 2018 ve Eylül 2018 tarihleri arasında yapılan laparoskopik
apendektomilerde, apendiks güdüğünü kapatmak için kullandığımız ve her
ameliyathanede kolaylıkla bulunabilen Karman kanülü düğüm oturtucu olarak
kullanıldı.

Bulgular:Çalışmaya
157 erkek (%64,9) 85 kadın (%35,1) toplam 242 hasta dahil edildi. Tüm
hastaların ameliyatları laparoskopik olarak yapıldı ve açık ameliyata
konversiyon olmadı. Ortalama ameliyat süresi 31,9 ± 10 dakikaydı. Hastaların
tümü post operatif birinci gün taburcu edildi. Beş hastada (%2) cerrahi alan
enfeksiyonu oluştu.

Sonuç: Karman kanülü
laparoskopik apendektomide diğer güdük kapama yöntemleri gibi güvenli ve ucuz
bir düğüm oturucu olarak kullanılabilir.

Keywords

Laparoskopik Appendektomi, Karman Kanülü, Güdük kapama, Düğüm oturtucu, Karman Kanülü

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