Procedure
COMPLICATIONS, POSTOPERATIVE COMPLICATIONS
The amount of time from the initiation of skin incision to the completion of skin suturing was defined as the total surgical time. To minimize bias in surgical timepoints, the surgical time was subdivided into skin incision, mesoappendiceal dissection (from start to completion time), polymeric clip or endoloop application (from start to appendix cutting time), and skin suture completion time.In both groups, surgery was performed through three abdominal incisions (one with a 12-mm trocar and two with 5-mm trocars) and using a 5-mm scope. The mesoappendix was dissected using an energy and/or monopolar device. When ligating the appendiceal base, two polymeric clips (Gems-clip Plus, size: XL [12 mm]) and one endoloop (Gemsloop-PGLA) were used in the intervention and control groups, respectively. After the appendix was cut, a drainage tube was placed according to the surgeon's judgment. The specimen was extracted using a plastic bag via the 12-mm trocar site and the trocar was then removed, followed by suturing the skin. The operation and anesthesia fees for each surgery were then calculated.Postoperative acute complications were monitored during hospitalization. If the patients agreed and there were no specific complications, they were discharged on the second postoperative day.One to two weeks after surgery, the patients were checked for postoperative complications during an outpatient visit.