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 HOW I DO IT DIFFERENTLY
Year : 2021  |  Volume : 17  |  Issue : 4  |  Page : 573-575

“Misra's appendicular hitch” stich – Innovative technique for simplifying endo-suturing during laparoscopic appendectomy


Department of Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Dr. Krishna Asuri
Room No. 5014C, Teaching Block, All India Institute of Medical Sciences, Ansari Nagar, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.JMAS_248_20

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Laparoscopic suture transfixation and free tie ligation are the most commonly used cost-effective technique of managing the base of the appendix during laparoscopic appendectomy in low resource settings such as India. This becomes technically cumbersome especially in the presence of the long friable appendix and for novice surgeons. We hereby describe an innovative technique of suspending the appendix using a transfacial suture to ease the placement of suture at the base of the appendix during laparoscopic appendectomy.






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