Clinical Utility of a Small Diameter Reload in Pediatric Appendectomies.

INTRODUCTION: Appendectomies are common among pediatric patients. This study aimed to assess the safety and utility of a two-row stapler reload in pediatric appendectomies. METHODS: A prospective registry was used to collect study data at two U.S. centers to evaluate Signia™ Small Diameter Reload (SDR) ligating the appendiceal stump and mesoappendix. Incidence of hemostatic and leak interventions was collected as the primary measure. RESULTS: SDR was fired 100 times across 95 patients with no intervention needed for hemostatic or leaks due to staple-line integrity concerns or device failures. No device-related complications or deficiencies occurred within 30 days of the operation. CONCLUSION: The two-row stapler reload demonstrated safety and efficacy in pediatric appendectomies. Outcomes were consistent across patient age, patient weight, type of appendicitis, and stapler handle used.

Duke Scholars

Author Sabino Zani Jr. Surgical Oncology