A New Knot Pusher Used in Laparoscopic Appendectomy; Karman Cannula

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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