Objective: To compare the technique of simple ligation of the appendix with ligation and burial of the stump during appendicectomy for acute appendicitis. Design: A comparative study of 677 appendicectomies. Place and duration of study: Department of General Surgery, Fauji Foundation Hospital Rawalpindi from June 1999 to June 2003. Patients and methods: All patients who underwent appendicectomy for uncomplicated acute appendicitis were divided into two groups. In Group-I simple ligation and in Group-II ligation with invagination of appendix stump was carried out. Patients were followed up for nine months to check the development of complications. Results: Both groups were similar with respect to age and sex. Simple ligation of the stump was done in 382 patients, while in 295 cases invagination of the stump after ligation was done. The incidence of postoperative wound infection (6.44%) and paralytic ileus (4.40%) was higher in Group-II as compared to Group-I. Conclusion: Simple ligation of appendix stump is better and safe procedure during appendicectomy.
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