{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:03:34Z","timestamp":1777921414719,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2020,4,1]],"date-time":"2020-04-01T00:00:00Z","timestamp":1585699200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic & Advanced Surgical Techniques"],"published-print":{"date-parts":[[2020,4,1]]},"abstract":"\n Introduction:<\/jats:title>\n Laparoscopic appendectomy is a commonly performed procedure. The base of appendix is secured by various techniques (suture, LigaSure, endoloop, or hamlock clip). Harmonic scalpel (HS) may be used to seal the base of the appendix. The study was conducted to assess the efficacy of HS in laparoscopic appendectomy for sealing the base of the appendix.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n The patients were divided into two groups: group 1 in which base was secured by endoloop and group 2 in which base of the appendix was sealed by HS in a stepwise manner. We made a record of patients' age and gender, and operative time. The patients were followed for a period of 3 months from the time of discharge.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n During the study period of 4.5 years, 102 patients were in group 1 and 108 patients in group 2. Both groups were age and gender matched. Mean operating time for group 1 was 43.34\u2009\u00b1\u20096.7 minutes and that for group 2 was 28.46\u2009\u00b1\u20097.19 minutes (\n P<\/jats:italic>\n \u2009<\u2009.0001). Complications included postoperative ileus (group 1\u2009=\u20098, group 2\u2009=\u200910) and surgical site infection (group 1\u2009=\u20094, group 2\u2009=\u20094,\n P<\/jats:italic>\n \u2009>\u2009.05).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n It appears that use of HS for laparoscopic appendectomy is feasible and safe. Its results appear to be comparable with other methods of laparoscopic appendectomy. Complications are minimal. Further studies at other centers may substantiate our efforts.<\/jats:p>\n <\/jats:sec>","DOI":"10.1089\/lap.2019.0782","type":"journal-article","created":{"date-parts":[[2020,2,18]],"date-time":"2020-02-18T16:59:13Z","timestamp":1582045153000},"page":"429-432","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":12,"title":["Sutureless Appendectomy by Using Harmonic Scalpel: Is It Possible?"],"prefix":"10.1177","volume":"30","author":[{"given":"Vipin","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Surgery, UP University of Medical Sciences, Etawah, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shailendra Pal","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgery, UP University of Medical Sciences, Etawah, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Somendra Pal","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Surgery, UP University of Medical Sciences, Etawah, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mradul","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Surgery, UP University of Medical Sciences, Etawah, India."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, King George's Medical University, Lucknow, India."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115734"},{"key":"e_1_3_4_3_2","first-page":"873","article-title":"Laparoscopy in abdominal emergencies","volume":"59","author":"Bobrzynski A","year":"2002","unstructured":"Bobrzynski A, , Budzynski A, , Strza\u0142ka M. Laparoscopy in abdominal emergencies. Przegl Lek, 2002; 59:873\u2013876.","journal-title":"Przegl Lek"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2015.0551"},{"key":"e_1_3_4_5_2","first-page":"226","article-title":"Depth of thermal injury: Ultrasonically activated scalpel vs electrosurgery","volume":"9","author":"Amaral JF","year":"1995","unstructured":"Amaral JF, , Chrostek C. Depth of thermal injury: Ultrasonically activated scalpel vs electrosurgery. Surg Endosc, 1995; 9:226.","journal-title":"Surg Endosc"},{"key":"e_1_3_4_6_2","first-page":"229","article-title":"MT. Methods for closure of appendix stump during laparoscopic appendectomy procedure","volume":"31","author":"Mayir B","year":"2015","unstructured":"Mayir B, , Ensari CO, , Bilecik T, , Aslaner A, Oru\u00e7 MT. Methods for closure of appendix stump during laparoscopic appendectomy procedure. Ulus Cerrahi Derg, 2015; 31:229\u2013231.","journal-title":"Ulus Cerrahi Derg"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-015-0060-3"},{"key":"e_1_3_4_8_2","first-page":"CD006437","article-title":"Closure methods of the appendix stump for complications during laparoscopic appendectomy","volume":"11","author":"Mannu GS","year":"2017","unstructured":"Mannu GS, , Sudul MK, , Bettencourt-Silva JH, , Cumber E, , Li F, , Clark AB, , Loke YK. Closure methods of the appendix stump for complications during laparoscopic appendectomy. Cochrane Database Syst Rev, 2017; 11:CD006437.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sle.0000136657.27798.b8"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-007-9712-z"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.01.014"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-010-2557-x"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0102-86502012000500008"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13005-017-0141-5"},{"key":"e_1_3_4_15_2","first-page":"562","article-title":"Can ultrasonic surgical devices be used to close the appendicular stump?","volume":"88","author":"Gozeneli O","year":"2017","unstructured":"Gozeneli O, , Tatli F, , Yucel Y, , Ozgonul A, , Uzunkoy A. Can ultrasonic surgical devices be used to close the appendicular stump?. 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