Securing the Appendiceal Stump During Emergency Appendicectomy: Options and Influencing Factors in Current UK Surgical Practice

Scottish Surgical Research Group, Michael S. J. Wilson, Stephen R. Knight, Peter Vaughan-Shaw

    Research output: Contribution to journalArticlepeer-review

    3 Citations (Scopus)

    Abstract

    Introduction: The aim of our study was to identify the most commonly employed methods and influencing factors for securing the appendiceal stump in current NHS practice.

    Methods: An electronic survey of the Scottish Surgical Research Group network, invitation extended to the UK National Research Collaborative.

    Results: A total of 111 responses were received from 32 surgical centers; 28 (25.2%) consultants, 66 (59.5%) specialty trainees and 12 (10.8%) core trainees. Endoscopic ligatures were the preferred method in 96 (86.5%) with no difference in those with the greatest operative experience (P=0.79), 12 (10.8%) preferred polymeric clips. Ease of application (70.3%) and severity of stump inflammation (65.8%) had the greatest influence on the method chosen. Cost was a factor in 36.0%.

    Conclusions: The preferred method for securing the appendiceal stump in UK practice is endoscopic ligatures regardless of operative experience. Factors with the greatest influence on the method employed include the ease of application and severity of stump inflammation. Our findings are likely to be representative of current NHS practice in Scotland.

    Original languageEnglish
    Pages (from-to)209-213
    Number of pages5
    JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
    Volume28
    Issue number4
    Early online date9 Jul 2018
    DOIs
    Publication statusPublished - 1 Aug 2018

    Keywords

    • appendix stump
    • emergency appendicectomy
    • endoscopic ligatures
    • polymer clips
    • Acute Disease
    • Surgeons/standards
    • Wound Closure Techniques
    • Appendectomy/instrumentation
    • Humans
    • Endoscopy, Gastrointestinal/instrumentation
    • Ligation/instrumentation
    • Surgical Instruments
    • United Kingdom
    • Clinical Competence/standards
    • Consultants
    • Practice Patterns, Physicians'
    • Surgicenters
    • Appendicitis/surgery
    • Emergency Treatment/methods

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