Skip to main content
Annals of The Royal College of Surgeons of England logoLink to Annals of The Royal College of Surgeons of England
. 1984 Mar;66(2):92–93.

The appendix stump: should it be invaginated?

D A Watters, M A Walker, B C Abernethy
PMCID: PMC2492432  PMID: 6703637

Abstract

In a prospective trial of 103 patients undergoing appendicectomy, one group of patients had the appendix stump treated by ligation alone and the other group underwent ligation and invagination. The two groups of patients were similar with respect to age, sex, incision and degree of inflammation of the appendix. Perforated appendices were excluded and in neither group were drains used or antibiotics given. No significant difference between the two methods of treatment of the appendix stump was noted, either with respect to wound infection or postoperative stay in hospital.

Full text

PDF
92

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BARNES B. A., BEHRINGER G. E., WHEELOCK F. C., WILKINSEW Surgical sepsis: analysis of factors associated with sepsis following appendectomy (1937-1959). Ann Surg. 1962 Nov;156:703–712. doi: 10.1097/00000658-196211000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Getzen L. C. Appendectomy: ligation of appendiceal stump without cauterization. Surgery. 1968 Aug;64(2):514–518. [PubMed] [Google Scholar]
  3. Gilmore O. J., Martin T. D. Aetiology and prevention of wound infection in appendicetomy. Br J Surg. 1974 Apr;61(4):281–287. doi: 10.1002/bjs.1800610407. [DOI] [PubMed] [Google Scholar]
  4. Greenall M. J., Bakran A., Pickford I. R., Bradley J. A., Halsall A., Macfie J., Odell M., Cooke E. M., Lincoln C., McMahon M. J. A double-blind trial of a single intravenous dose of metronidazole as prophylaxis against wound infection following appendicectomy. Br J Surg. 1979 Jun;66(6):428–429. doi: 10.1002/bjs.1800660617. [DOI] [PubMed] [Google Scholar]
  5. Kingsley D. P. Some observations on appendicectomy with particular reference to technique. Br J Surg. 1969 Jul;56(7):491–496. doi: 10.1002/bjs.1800560705. [DOI] [PubMed] [Google Scholar]
  6. Leigh D. A., Pease R., Henderson H., Simmons K., Russ R. Prophylactic lincomycin in the prevention of wound infection following appendicectomy: a double blind study. Br J Surg. 1976 Dec;63(12):973–977. doi: 10.1002/bjs.1800631222. [DOI] [PubMed] [Google Scholar]
  7. Rodgers J., Ross D., McNaught W., Gillespie G. Intrarectal metronidazole in the prevention of anaerobic infections after emergency appendicectomy: a controlled clinical trial. Br J Surg. 1979 Jun;66(6):425–427. doi: 10.1002/bjs.1800660616. [DOI] [PubMed] [Google Scholar]
  8. Rosenberg I. L. The effect of diathermy to the appendix stump in the control of wound sepsis. J R Coll Surg Edinb. 1974 Nov;19(6):381–383. [PubMed] [Google Scholar]
  9. Salem R. J., Johnson J., Devitt P. Short term metronidazole therapy contrasted with povidone-iodine spray in the prevention of wound infection after appendicectomy. Br J Surg. 1979 Jun;66(6):430–431. doi: 10.1002/bjs.1800660618. [DOI] [PubMed] [Google Scholar]
  10. Sinha A. P. Appendicectomy: an assessment of the advisability of stump invagination. Br J Surg. 1977 Jul;64(7):499–500. doi: 10.1002/bjs.1800640714. [DOI] [PubMed] [Google Scholar]
  11. Willis A. T., Ferguson I. R., Jones P. H., Phillips K. D., Tearle P. V., Berry R. B., Fiddian R. V., Graham D. F., Harland D. H., Innes D. B. Metronidazole in prevention and treatment of bacteroides infections after appendicectomy. Br Med J. 1976 Feb 7;1(6005):318–321. doi: 10.1136/bmj.1.6005.318. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England

RESOURCES