Publication:

A comparative study of simple ligation and simple ligation with invagination of appendicular stump

Background Acute appendicitis is the most common abdominal emergency. During open appendicectomy the best treatment of the appendicular stump has not been defined. This is a randomized control trial of simple ligation and simple ligation with invagination of appendicular stump.

Methods The diagnosis of acute appendicitis was based on the MASS (Modified Alvardo Score System). ECG and X-Ray chest were done when needed. All the patients were operated under spinal anesthesia.

Results Total 313 patients were operated and randomly divided into two groups, in group A appendicular stump was treated with simple ligation (n=166) and group B underwent ligation and invagination (n=147). Post-operative complications like pyrexia, vomiting, serous discharge, wound infection, peritonitis, residual abscess and post-operative pain in right iliac fossa are comparable in both the groups. Mean operating time in group A was shorter but statistically insignificant. The incidence of paralytic ileus was 3 (1.81%) and 8 (5.44%) patients in group A and group B respectively and was statistically significant.

Conclusions During open appendicectomy simple ligation of appendicular stump is recommended as it is safe, simple and having shorter operative time.