SP3.1.12 A Comparison of Polymeric Clips vs Endoloops to Secure Appendicular Stump in Adult Emergency Laparoscopic Appendicectomy

Abstract Aims To assess the use of polymeric clips (PC) as an alternative to Endoloops (EL) secure appendicular stump in adult emergency laparoscopic appendicectomy. Method A retrospective analysis all patients who underwent appendicectomy from 1/11/19 31/10/20, following introduction our institute a safe endoloops October 2019. Patient demographics, operative duration, intraoperative findings, methods control mesentery and stump, post-operative length stay, complications grade operating surgeon were compared both groups (PCvsEL) data analysed using SPSS. Results total 333 included, satisfied inclusion criteria. PC used 160 (48%) EL 173 (52%). intra-operative severity disease statistically similar between groups. Mean time was 10 minutes shorter group (71 vs 81minutes, p = 0.001). Mesoappendix ligated by applying titanium 25%, 6% (p < 0.001), while 42% group, on mesoappendix, which without any additional cost. Post-operative complication rates groups, apart ileus, more 0.003). Conclusion The is effective way results in, not only reduced time, but also significant cost saving (£49/3x £21/pack 6x Polymeric clips) NHS.