Comparison Between Hem-O-Lok Clips Versus Roeder's Knot in Laparoscopic Appendiceal Stump Closure

Dr. Anuttam Arijit Pani, Dr. Biranchi Narayan Lenka

Abstract: Purpose: The closure of the appendiceal stump, a crucial step in the process, has generated controversy and concerns despite the well-established surgical method of laparoscopic appendectomy. Several modifications to the original technique with new materials have been introduced for enhancing and controlling the appendiceal stump closure, such as endoloop, double endoloop, ultrasonically activated scalpel, instrument-assisted knotting, bipolar coagulation, slipknot tying, metal clip, Hem-o-lok clip, and linear endostaplers. The present study was an attempt to evaluate the ease of use and safety of Hem-o-lok clips compared to Roeder?s knot in the appendiceal stump closure in patients undergoing laparoscopic appendectomy by comparing complications (intraoperative and postoperative), hospital stay and follow up period. Methods: 100 patients with appendicitis who underwent laparoscopic appendectomy were selected. Depending on the intervention, these patients were split into two groups of 50 each: Group R (which underwent laparoscopic appendiceal stump closure using Roeder's Knot) and Group H (which underwent laparoscopic appendiceal stump closure using Hem-o-lok clips). Results: 54.00% of patients in group R and 60% of patients in group H were female in the current study (p=0.6023). Groups R and H had similar mean ages (30.06 ± 9.04 years and 28.23 ± 11.23 years, respectively; p=0.372). Groups R and H's preoperative characteristics were similar to each other in terms of other factors (p>0.050). A considerably greater proportion of patients (54.00%) in group H needed less time during surgery (45 to 60 minutes), while 74.00% of cases in group R needed more time during surgery (61 to 75 minutes). When comparing group R to group H, the mean operative duration was substantially higher (p<0.05). On the other hand, both groups' intraoperative complications (p=0.300) and postoperative complications (p=0.601) were similar (p>0.050). Conclusion: Hem-o-lok clips are beneficial for appendiceal stump closure because they need less time to operate on, and are simpler to use.

Keywords: Appendiceal stump closure, Roeder's knot, Hem-o-lok clips

How to Cite?: Dr. Anuttam Arijit Pani, Dr. Biranchi Narayan Lenka, "Comparison Between Hem-O-Lok Clips Versus Roeder's Knot in Laparoscopic Appendiceal Stump Closure", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 623-626, https://www.ijsr.net/getabstract.php?paperid=SR251207145809, DOI: https://dx.doi.org/10.21275/SR251207145809