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

doi:10.1097/SLE.0000000000000558

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 journal › Article › peer-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 language	English
Pages (from-to)	209-213
Number of pages	5
Journal	Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume	28
Issue number	4
Early online date	9 Jul 2018
DOIs	https://doi.org/10.1097/SLE.0000000000000558
Publication status	Published - 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

ASJC Scopus subject areas

Surgery

Access to Document

10.1097/SLE.0000000000000558

Cite this

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

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.",

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author = "{Scottish Surgical Research Group} and Wilson, {Michael S. J.} and Knight, {Stephen R.} and Peter Vaughan-Shaw",

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Securing the Appendiceal Stump During Emergency Appendicectomy: Options and Influencing Factors in Current UK Surgical Practice. / Scottish Surgical Research Group; Wilson, Michael S. J.; Knight, Stephen R. et al.
In: Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, Vol. 28, No. 4, 01.08.2018, p. 209-213.

Research output: Contribution to journal › Article › peer-review

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T1 - Securing the Appendiceal Stump During Emergency Appendicectomy

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AU - Vaughan-Shaw, Peter

PY - 2018/8/1

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

Abstract

Keywords

ASJC Scopus subject areas

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