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  3. 1.Outcome of Hemostasis Securing During Laparoscopic Appendectomy by Using Ligature Versus Vessel Sealing Devices
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1.Outcome of Hemostasis Securing During Laparoscopic Appendectomy by Using Ligature Versus Vessel Sealing Devices

Humma Munawar1, Muhammad Maqsood Zahid3, Khaleel Ahmad4, Rafaqat Ahmed2, Hafiz Muhammad Javed4 and Shahid Mahmood5

ABSTRACT

Objective: Present study was planned to compare the outcome of hemostasis securing during laparoscopic appendectomy by using ligature versus vessel sealing devices.

Study Design: Observational study

Place and Duration of Study: This study was conducted at the Aziz Bhatti Shaheed Teaching Hospital, Gujrat from January 2022- December 2022.

Materials and Methods: 60 patients were enrolled (30 in each group). Patients were randomly divided into 02 groups. In group A, patients undergone surgery by using vessel sealing devices. In group B, patients were undergone surgery by conventional method (ligature). During procedure; operative time was noted in minutes and blood loss. At end of surgery, number of suture unit required to close the mesoappendix was noted. After 24 hours, patients were assessed for pain by using visual analogue scale.

Results: In this study In Vessel sealing devices group the mean operative time of the patients was 27.35±1.42 minutes and in Ligature group the mean operative time of the patients was 30.67±2.92minutes (p-value=<0.001). In Vessel sealing devices group the mean blood loss was 7.92±10.27ml and in Ligature group the mean blood loss was 19.75±18.37ml (p-value=<0.001). In Vessel sealing devices group the mean number of suture was 2.67±1.4 and in Ligature group the mean number of suture was 7.50±1.75 (p value=<0.001). In Vessel sealing devices group the mean pain score was 1.57±0.50 and in Ligature group  the mean pain score was 3.97±0.89 (p-value=<0.001).

Conclusion: This study concluded that Vessel sealing devices is significantly better and useful procedure as compared to ligature in terms of hemostasis outcome during laparoscopic appendectomy.

Key Words: Laparoscopic Appendectomy, Vessel Sealing Devices, Ligature.

 

Citation of article: Munawar H, Zahid MM, Ahmad K, Ahmed R, Javed HM, Mahmood S. Outcome of Hemostasis Securing During Laparoscopic Appendectomy by Using Ligature Versus Vessel Sealing Devices. Med Forum 2023;34(8):2-6. doi:10.60110/medforum.340801.