The Practice to Invaginate Appendicular Stump after Appendectomy.

Abstract

Objectives: To determine whether invagination of stump after appendectomy is necessary
Study design: Comparative study
Place and duration of study: Surgical unit 3, Liaqat University Hospital Hyderabad, from 1-7-2007 to 30-6-2009.
Methodology:112 patients who underwent appendectomy were included on the basis of no probability convenient sampling. Irrespective of age and sex. These patients were diagnosed by clinical examination and lab investigations. Patients were divided in 2 groups alliteratively. Group 'A consisting of 56 patients with invagination of
appendicular stump and group B consisting 56 patients without invagination of stump. Both groups were looked
after for post-surgical complications.
Results: Age of patients ranged from 1266 years (men age 28.4 years), 71 patients were males (37 in group 'A,
34 in group B') 41 were females (19 in group 'A' and 22 in group 'B): Paralytic ileus was observed in 4 patients
(7,2%) in group 'A' and 2 patients (3.6%) in group 'B'. Wound infection was observed in 6 patients (10.76) in
group 'A' while in group B' it was observed in 2 patients (3,6%). Remaining post operative complications and hospital stay was identical in both groups.
Conclusion: There is no benefit of invagination of appendicular stump over non invagination, rather invagination
of stump-increases operating time and prolonged anesthesia un-necessarily.
Key words: Acute Appendicitis, Appendectomy, Appendicular stump invagination.