Introduction: Acute appendicitis is the most common cause of acute abdomen in adults. The technique of appendicectomy may vary from surgeon to surgeon starting from skin incision to ligation or invagination of stump. The literature provides conflicting results with simple ligation versus invagination of stump during open appendicectomy for uncomplicated acute appendicitis.
Aims and objectives: To compare simple ligation versus invagination of stump during open appendicectomy for uncomplicated acute appendicitis.
Material and methods: The present study was a randomized prospective clinical trial on 60 patients with suspected acute appendicitis presenting to hospital emergency services, which were divided into two groups. In Group I, simple ligation or transfixation of appendiceal stump was done. While in group II, invagination of appendiceal stump by purse-string suture was done.
Observations: Mean operating time in Group I was 68.1 min whereas in group II it was 94 min. Both groups showed significant difference in operating time (p<0.05). Duration of hospital stay in Group I showed mean hospital stay of 3.8 days while in group II it was 4 days ( p >0.05) indicating no significant difference in duration of hospital stay.
Conclusion: Simple ligation can be as effective as stump invagination during open appendicectomy since there is no difference in rate of wound infection and hospital stay.
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2022: 6.012
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