Comparison of two Surgical Techniques; Simple Ligation and Ligation with Invagination of Appendicular Stump in Appendicectomy for Acute Appendicitis

Introduction: Appendicitis is an important differential diagnosis in patients with right lower quadrant pain. Acute appendicitis is the common emergency encountered round the globe. It is the cause of an acute surgical abdomen, and it remains one of the most challenging diagnoses in the emergency department. Appendicectomy is the accepted therapy for acute appendicitis. Objective: To compare the technique of simple ligation and ligation with burial of the stump during appendicectomy for acute appendicitis. Subjects and Methods: Eighty cases of acute appendicitis were analysed for this study. They were randomly allocated to the two surgical procedures such as simple ligation (Group I) and ligation with invagination (Group II) of appendicular stump in appendicectomy. The clinical variables were statistically evaluated. Results: The frequency of postoperative ileus was more in group II (22.5%, and 5%) during first 48 and 72 hours respectively as compared to group I, P<0.05). Postoperative wound infection was noticed in 15% patients in group 1 and 22.5% patients in group II (P>0.05). Conclusion: Simple ligation of stump during appendicectomy is a better and safe procedure as compared to the invagination of stump because there is less incidence of postoperative complications such as postoperative paralytic ileus and wound infection.