Journal of Gastrointestinal Surgery

, Volume 18, Issue 10, pp 1885–1885 | Cite as

Response to Letter to the Editor

  • Michael E Kelly
  • Des C. Winter
Letter to the Editor


Appendicitis Abscess Formation Laparoscopic Appendectomy True Incidence Open Appendectomy 
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Dear Editor,

In our recent editorial “Stumped; the Achilles of Laparoscopic Appendectomy”, we speculated that burying the appendiceal stump in open appendectomy may be a key factor in mitigating the risk of intra-abdominal abscess formation postoperatively. It should be noted that in recent years with improvements in medical technology and increased availability of stapler devices, many surgeons use them, especially in complicated appendicitis cases. Additionally, many contemporary studies comparing surgical outcomes from laparoscopic appendectomy do not specifically mentioned whether simple Roeder knots or stapler devices have been used intra-operatively. This may mask the true incidence of intra-abdominal abscess rates in laparoscopic appendectomy with simple stump closure techniques.

Finally, the premise that our editorial suggested that open appendectomy was better that laparoscopic appendectomy is misconstrued. We highlighted that the burial of the appendiceal stump is the major difference between each approach and that the development of endoscopic devices to provide stump invagination should be worth considering, irrespective whether the approach is multi-port or single-port surgery.

Copyright information

© The Society for Surgery of the Alimentary Tract 2014

Authors and Affiliations

  1. 1.Department of SurgerySt Vincent’s University HospitalDublinIreland

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