{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:26:36Z","timestamp":1787840796844,"version":"build-2784847793"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Secure closure of the appendiceal stump is critical in laparoscopic appendectomy to prevent post-operative complications. Traditional methods such as Endoloop ligatures are effective but technically demanding, while self-locking polymeric clips may offer a simpler alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare intra-operative time, ease of application and safety between self-locking polymeric clips and Endoloop ligatures for appendiceal stump closure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>\n                      A prospective randomised controlled trial was conducted on 50 adult patients undergoing elective laparoscopic appendectomy. (CTRI-2023\/12\/060687; retrospectively registered) Patients were randomised into two groups: stump closure with Endoloop ligatures (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 25) or self-locking clips (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 25). Primary outcomes were intra-operative time and ease of application, measured using the Single Ease Question (SEQ) score. Secondary outcomes included post-operative complications and hospital stay.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The clip group demonstrated significantly shorter operative times (mean difference: \u22129.04 min; 95% confidence interval: \u221216.76 to \u22121.32;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.023) and higher SEQ scores (6.1 \u00b1 0.9 vs. 4.6 \u00b1 0.9;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.0001) compared to the Endoloop group. Post-operative complications and hospital stay showed no significant differences between groups. Correlation analysis revealed a moderate negative relationship between operative time and ease of surgery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Self-locking polymeric clips provide a faster, easier and equally safe method for appendiceal stump closure compared to Endoloop ligatures. Their efficiency and simplicity make them particularly suitable for high-volume and resource-limited surgical settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmas.jmas_363_25","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:02:54Z","timestamp":1774008174000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Faster, safer and easier: A randomised study on the outcomes of polymeric clips for appendicular stump management"],"prefix":"10.4103","author":[{"given":"Tanmay","family":"Arora","sequence":"first","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit Kumar","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer","family":"Nain","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Abu Masud","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shardool Vikram","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeti","family":"Kapur","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and Dr RML Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. 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