Effect of barbed wire in stump treatment during laparoscopic gangrenous appendectomy / 中国基层医药

ABSTRACT

Objective To observe the safety and efficacy of barbed wire in the treatment of root gangrene stump in laparoscopic appendectomy (LA).Methods From January 2016 to January 2018,42 patients with gangrene in the root of the appendix treated in the First People's Hospital of Tongxiang were selected as study objects ,and they were divided into observation group and control group according to the digital table .The observation group (22 cases) was treated with barbed suture ,and 20 cases in the control group received body-absorbable suture.The time of suture,operation time,perioperative blood loss ,postoperative hospital stay and the incidence of postoperative complica-tions were observed.Results All patients successfully completed the operation without conversion to open surgery .No serious complications occurred during the perioperative period.The preoperative general data ,intraoperative bleeding , postoperative hospital stay and postoperative complications between the two groups had no statistically significant differences (all P＞0.05 ).But the suture time [( 5.2 ±1.2) min vs.(7.2 ±2.6) min], the operation time [(40.1 ±6.8) min vs.(47.0 ±8.3 min)] in the observation group were significantly shorter than those in the control group,the differences were statistically significant (t＝3.25,2.99,all P＜0.05).All 42 patients were followed up for 3-6 months,with an average follow-up time 4.6 months,without serious complications.Conclusion The barbed wire is safe and effective in the treatment of root gangrene stump in LA.It can shorten the suture time and operation time,lower the level of difficulty of laparoscopic surgery and shorten the learning curve ,which is worthy of clinical application.