title: Simple ligation vs stump inversion in appendicectomy.
abstract: Although modern gastrointestinal surgery has abandoned the invagination of stapler closures, the traditional technique for appendicectomy with appendix stump invagination is still in common use. In a prospective study altogether 200 patients operated on for acute appendicitis were treated either by simple ligation or ligation and inversion of the appendix stump. The complication rates between the two groups were equal. Thus, we recommend the simple ligation technique for conventional as well as for laparoscopic appendicectomy because it is simpler and faster, and it preserves the intact anatomy of the caecal wall.
authors.affiliation: Department of Surgery, Päijät-Häme Central Hospital, Finland.
authors.forename: M I
authors.initials: MI
authors.lastname: Lavonius
authors.forename: S
authors.initials: S
authors.lastname: Liesjärvi
authors.forename: R O
authors.initials: RO
authors.lastname: Niskanen
authors.forename: S K
authors.initials: SK
authors.lastname: Ristkari
authors.forename: O
authors.initials: O
authors.lastname: Korkala
authors.forename: R E
authors.initials: RE
authors.lastname: Mokka
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001062:Appendectomy / Q000009:adverse effects / Q000379:methods*; D001064:Appendicitis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008026:Ligation / Q000379:methods; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D013536:Suture Techniques; D013997:Time Factors