Safety and Efficacy of nonabsorbable Hem-o-lok Polymer Clips for Laparoscopic appendiceal Stump Closure in acute appendicitis

Authors

  • Ashik Mahmud Associate Professor, Department of Surgery, Brahmanbaria Medical College, Brahmanbaria, Bangladesh
  • Ahmed Sami Al Hasan Associate Professor of Surgery, Dhaka Medical College & Hospital, Dhaka, Bangladesh
  • Md Mohiur Rahman Khan Junior Consultant of Urology, BIRDEM General Hospital, Shahbag, Dhaka, Bangladesh
  • Gazi Gias Uddin Registrar, Department of Surgery, Bangladesh Medical College, Dhanmondi, Dhaka, Bangladesh
  • Saima Rahman Associate Professor of Gynae and Obst., Brahmanbaria Medical College, Bangladesh
  • Syeda Ummul Khair Assistant Professor of Obst. & Gynae, Dhaka Medical College, Dhaka, Bangladesh
  • Md Azharur Rahman Senior Consultant (Surgery) 250 Bedded General Hospital, Brahmanbaria, Bangladesh
  • Md Mizanur Rahman Shikder Assistant Professor, Department of Surgery, Brahmanbaria Medical College Hospital, Bangladesh

DOI:

https://doi.org/10.3329/jbcps.v44i1.87332

Keywords:

Laparoscopic appendectomy, Extracorporeal (Roeder’s knot) knot, Intracorporeal knot, endoloop, endo stapler, hem-o-lok polymer clip, metallic clip.

Abstract

Background: Adequate closure of the appendiceal stump is vital to minimize intraabdominal complications and surgical site infections in laparoscopic appendectomy. There are various techniques for the closure of base of the appendix while performing a laparoscopic appendectomy like endoloop, extracorporeal (Roeder’s knot) or intracorporeal knotting, clips and endo stapler.

Objective: To assess the safety and efficacy of nonabsorbable hem-o-lock polymer clips for laparoscopic appendiceal stump closure in acute appendicitis.

Methodology: This is a descriptive observational study carried out at Brahmanbaria Medical College Hospital from January 2017 to August 2023. Patients, who underwent laparoscopic appendectomy with nonabsorbable hem-o-lok polymer clips appendiceal stump closure, were included in the study. Data on patients’ demography, intraoperative and postoperative complications, operative time and hospital stay were collected for statistical analysis.

Result: A total of 42 patients who underwent laparoscopic appendectomy with nonabsorbable hem-o-lok polymer clips stump closure, were included in this study. Among them 62% were female and 38% male. Mean age was 23±4.042 years. The mean operative time was 38.40±8.709 minutes. Mean hospital stay was 2.5±0.707 days. No major intraoperative and postoperative complications observed.

Conclusion: The use of nonabsorbable hem-o-lock polymer clips for the closure of appendiceal stump in laparoscopic appendectomy is feasible, safe, fast and effective technique. Due to simplicity of the technique it may be a useful alternative to the other methods of laparoscopic appendiceal stump closure.

J Bangladesh Coll Phys Surg 2026; 44: 33-39

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Published

2026-02-01

How to Cite

Mahmud, A., Hasan, A. S. A., Khan, M. M. R., Uddin, G. G., Rahman, S., Khair, S. U., … Shikder, M. M. R. (2026). Safety and Efficacy of nonabsorbable Hem-o-lok Polymer Clips for Laparoscopic appendiceal Stump Closure in acute appendicitis. Journal of Bangladesh College of Physicians and Surgeons, 44(1), 33–39. https://doi.org/10.3329/jbcps.v44i1.87332

Issue

Vol. 44 No. 1 (2026)

Section

Original Articles

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