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

Syed Rizwanuddin Qazi; Anil Vishwasrao Darokar; Varsha Nitin Bijwe; Rajiv Mangalmurti Mulmule; Kishor Krishnarao Bele

doi:10.18203/2320-6012.ijrms20161215

Authors

Syed Rizwanuddin Qazi Department of Surgery, Dr Panjabrao Deshmukh Hospital, Amravati
Anil Vishwasrao Darokar Department of Surgery, Dr Panjabrao Deshmukh Hospital, Amravati
Varsha Nitin Bijwe Department of Surgery, Dr Panjabrao Deshmukh Hospital, Amravati
Rajiv Mangalmurti Mulmule Department of Surgery, Dr Panjabrao Deshmukh Hospital, Amravati
Kishor Krishnarao Bele Department of Surgery, Dr Panjabrao Deshmukh Hospital, Amravati

DOI:

https://doi.org/10.18203/2320-6012.ijrms20161215

Keywords:

Acute appendicitis, Appendicectomy, Appendicular stump, Simple ligation, Invagination

Abstract

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.

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