Abstract
Conventionally, control of the appendix base in laparoscopic appendicectomy is achieved with Roeder knots. These are commonly delivered using pre-tied ligatures of 2/0 polyglycolic acid. In our centre, Surgiwip™ ligatures (Covidien, Mansfield, MA, US) cost £13.50 each, bringing the cost of this practice to £40.50 per case. A cheaper alternative is to use the same ligature material on a reel and to hand tie each Roeder knot, advancing each knot simply with laparoscopy forceps. Three Roeder knots can therefore be obtained from a single reel. Using a Polysorb™ reel (Covidien), this costs £2.97 for three Roeder knots, saving £37.53 per case.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: Annals of The Royal College of Surgeons of England
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
