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Appendicectomy: an assessment of the advisability of stump invagination
Abstract:
Seven hundred and thirty-two cases of appendicectomy performed over a period of 5 years are reviewed to compare the incidence of complications and the length of the postoperative stay in hospital, depending on whether the appendix stump was simply ligated or was invaginated by purse string suture following ligation. No detrimental effects are noted following simple ligation, whereas patients who had stump invagination remained in hospital on average more than a day longer, mainly owing to a higher incidence of wound infection (16 per cent as against 6 per cent).
Insights
Simple ligation of the appendix stump is safer than invagination. Simple ligation reduces hospital stay and wound infection rates following appendicectomy surgery.
Area of Science:
- General Surgery
- Surgical Techniques
Background:
- Appendicectomy is a common surgical procedure.
- Management of the appendix stump is a key surgical decision.
- Comparing different stump management techniques is crucial for patient outcomes.
Purpose of the Study:
- To compare the incidence of complications and postoperative hospital stay.
- To evaluate outcomes between simple ligation and purse-string suture invagination of the appendix stump.
Main Methods:
- Retrospective review of 732 appendicectomy cases over 5 years.
- Analysis of stump management method: simple ligation vs. purse-string invagination.
- Comparison of complication rates and length of hospital stay.
Main Results:
- No detrimental effects observed with simple ligation.
- Stump invagination resulted in a longer hospital stay (average >1 day).
- Higher incidence of wound infection in the invagination group (16% vs. 6%).
Conclusions:
- Simple ligation of the appendix stump is associated with better outcomes.
- Purse-string invagination may increase the risk of wound infection and prolong hospital stay.
- Simple ligation is a preferred method for appendix stump management.