Abstract
Study Objective This video is intended to review the relevant anatomy and procedural steps to a suture ligature appendectomy. We will also review the safety data on the use of staplers and mechanical devices as compared to suture ligatures. Design Instructional educational video. Setting Academic medical center. Patients or Participants This video describes the case of a patient with appendiceal endometriosis. Interventions The patient underwent a suture ligature appendectomy due to involvement of the appendix in ovarian fossa endometriosis. Measurements and Main Results A Cochrane review published in 2017 showed no difference in total, intraoperative, or postoperative complications between suture ligation and any type of mechanical device, including staplers, clips, or electrocautery devices. In addition, mechanical devices cost at least three-fold more than suture ligature-based methods but saved only 9 minutes of OR time. Conclusion A suture-ligation approach to appendectomy is a safe, low-cost, and simple intervention.
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