Management of appendix stump: The technique

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

“…17 In present study post operative vomiting was present in 9 (5.42%) and 11 (7.48%) patients of group A and group B respectively.…”

“…18 Singh G et al showed post operative nausea and vomiting in 3.92% and 2% cases respectively. 17 In present study the incidence of wound infection was 6 (3.61%) and 8 (5.44%), serous discharge 7 (4.22%) and 6 (4.08%) patients of group A and broup B respectively. It was not statistically significant.…”

“…18 In present study the incidence of peritonitis, Residual abscess and intestinal obstruction due to adhesion was 0% in both the groups. 17 Neves LJ et al observed the incidence of intra abdominal abscess was 0% and 1.56% in simple ligation and burial group respectively but statistically insignificant. 12 The current literature shows that there is no difference in the incidence of intracavitary abscesses after simple ligation or ligation and burial of stump.…”

“…It was statistically significant.in study of 102 patients Singh G et al, showed no significant difference in post operative paralytic ileus and wound infection. 17 In a study of 60 patients by Minhas Q et al, incidence of superficial surgical site infection in simple ligation 6.7% and simple ligation and invagination of stump 13.3%. Paralytic ileus was 0% and 1% respectively.…”

“…[7][8][9] Like in other studies no case of post operative peritonitis, residual abscess and intestinal obstruction due to adhesions was noticed in both groups during the postoperative period and follow up. 13,[17][18][19][20] There are reports of residual abscess on the wall of caecum due to burial of stump beside deformation (filling defect). It may lead to the suspicion of caecal neoplasm and unnecessary investigations.…”