Background: Closure of umbilical port site with EndoClose has been utilized in adult laparoscopic surgery, particularly in obese patients or difficult cases but never been studied in children. With the increase rates of childhood obesity, EndoClose might be helpful in port site closure. The purpose of the study is to compare the postoperative pain and development of port site hernia at the umbilical port site of EndoClose Vs simple closure in laparoscopic appendectomy. To our knowledge, this is the first study comparing two different closure techniques for the umbilical port site in laparoscopic surgery in children.
Methods: One hundred children undergoing laparoscopic appendectomy for acute appendicitis were randomized into two groups: EndoClose (n=50) and simple closure (n=50). Pain scores (1-10 scale) were recorded daily for five days postoperatively, and port-site hernias were assessed during follow-up visits. Statistical analysis included repeated-measures ANOVA and chi-square tests.
Results: Similar groups were studies with a mean age of 10.5 years No significant differences were observed in postoperative pain scores between the EndoClose and simple closure groups (p>0.05). Pain scores declined similarly in both groups from day 1 to day 5. No port-site hernias were detected in either group during the six-month follow-up period.
Conclusion: Closure by EndoClose device is comparable to simple closure in terms of postoperative pain and port-site hernia incidence in pediatric laparoscopic appendectomy. Although it cost more, EndoClose may offer technical advantages in challenging cases. Further studies with larger cohorts and diverse laparoscopic procedures are needed to validate these findings.
Keywords: EndoClose. Suture closure. Umbilical port. Sheath closure. Laparoscopy. Pediatric Surgery.
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