Comparison between the use of Titanium Clips and Monopolar Diathermy for Closure of the Mesoappendix in Laproscopic Appendectomy in terms of Operative Time and Cost

Authors

  • Shahzad Akhtar Department of Surgery, Combined Military Hospital Nowshera/National University of Medical Sciences (NUMS) Pakistan
  • Tariq Mukhtar Farrani Department of Surgery, Combined Military Hospital Nowshera/National University of Medical Sciences (NUMS) Pakistan
  • Mukarram Hussain Department of Surgery, Combined Military Hospital /National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Yousaf Department of Surgery, Combined Military Hospital Panu Aqil/National University of Medical Sciences (NUMS) Pakistan
  • Ghazanfar Jabbar Department of Surgery, Combined Military Hospital Chhor/National University of Medical Sciences (NUMS) Pakistan
  • Talha Makshoof Department of Surgery, Pakistan Air Force Masroor Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i3.9852

Keywords:

Cost, Laparoscopic Appendectomy, Operative Time

Abstract

Objective: To compare the use of Titanium clips and Monopolar diathermy for laparoscopic appendectomy mesoappendix closure in terms of operative time and cost.

Study Design: Quasi-experiment study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Nowshera Pakistan, from Jul 2021 to Jun 2022.

Methodology: A total of 70 patients who were diagnosed with acute appendicitis and were admitted for laparoscopic appendectomy were randomly divided into two groups via the lottery method. In Group-A, the closure of the mesoappendix was done using Titanium clips, and in Group-B, the ligation of the mesoappendix was done using Monopolar diathermy. Patient outcomes in terms of operative time and procedure cost were assessed.

Results: Out of 70 patients, 49(70.0%) were males and 21(30.0%) were females, aged 18 to 60 years, with a mean age of 37.57±7.71 years. The overall mean weight of the patients was 65.29±12.14 kg; height was 1.71±0.12 metres; and BMI was 24.96±5.23 kg/m2, respectively. Prolonged operative time was observed in 16(45.71%) patients in Group-A, compared to 7(20.0%) in Group-B (p-value 0.022). In Group-A, the total cost of the operation was Rs. 32,000, whereas in Group-B, it was Rs. 30,000 (p-value=0.001).

Conclusion: This study concluded that Monopolar diathermy for the closure of the mesoappendix is better in terms of operating time and cost as compared to the use of Titanium clips.

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References

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Published

28-06-2024

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Original Articles

How to Cite

1.
Akhtar S, Farrani TM, Hussain M, Yousaf M, Jabbar G, Makshoof T. Comparison between the use of Titanium Clips and Monopolar Diathermy for Closure of the Mesoappendix in Laproscopic Appendectomy in terms of Operative Time and Cost. Pak Armed Forces Med J [Internet]. 2024 Jun. 28 [cited 2024 Nov. 5];74(3):790-3. Available from: https://pafmj.org/PAFMJ/article/view/9852