What do systematic reviews say?

Endoscopic stapler vs ligature

It is very uncertain whether endoscopic stapler changes postoperative superficial infections compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.1 [0.01, 0.84]
  3 studies · 327 participants
  Very low

Clips vs ligature

It is very uncertain whether clips changes postoperative superficial infections compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 1.25 [0.32, 4.9]
  6 studies · 553 participants
  Very low

Endoscopic stapler vs clip

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 60 participants
  Very low

Mechanical devices vs ligature

It is very uncertain whether mechanical devices changes postoperative superficial infections compared with ligature (very low certainty).

• Closure methods of the appendix stump for complications during laparoscopic appendectomy 2017 · Cochrane Headline outcomes only
  OR 0.58 [0.18, 1.93]
  8 studies · 850 participants
  Very low