SIMPLE LIGATION VS STUMP INVERSION IN APPENDECTOMY

Although modern gastrointestinal surgery has abandoned the invaginatio n of stapler closures, the traditional technique for appendicectomy wi th appendix stump invagination is still in common use. In a prospectiv e study altogether 200 patients operated on for acute appendicitis wer e treated either by simple ligation or ligation and inversion of the a ppendix stump. The complication rates between the two groups were equa l. Thus, we recommend the simple ligation technique for conventional a s well as for laparoscopic appendicectomy because it is simpler and fa ster, and it preserves the intact anatomy of the caecal wall.