APPENDICECTOMY

ASSESSMENT OF CAECAL INVAGINATION OF APPENDICULAR STUMP

Abstract

Objective: To evaluate the usefulness of invagination/burial of appendicular stump after removal of appendix. Design: A prospective, non randomized comparative study. Setting: CMH Kharian and PAF Hospital Mianwali. Period: 2005-2007. Patients and Methods: Three hundred patients were included in this study. Appendicectomy was performed through Lanz incision .After removal of the appendix stump was buried/ invaginated in 150 patients while it was not buried in other 150 patients. 198 patients were males and 102 patients were females. The youngest patient was 14 years old and the eldest was 55 years old. Perforated and gangrenous appendices were not included in this study. Results: There was hardly any difference in outcome of patients in both groups except that 10 patients in first group had longer hospital stay due to symptoms like more pain, fever and infection. Conclusion: Burial or otherwise of appendicular stump does not make much difference. It was concluded that there was no added benefit of invagination of appendicular stump rather it takes more operative time and at times it has negative implications too.