Comparison of Simple Ligation versus stump Invagination in open Appendectomy


Farhad Sherzad
Imran Zafarzai
Samiullah Saeed
Gul Aqa Sadat


Background: Acute appendicitis (AA) is one of the most prevalent abdominal crises and faced by the surgeon in practice. The best treatment for the appendicular stump during open appendectomy is unknown. This is a randomized controlled trial comparing simple ligation with appendicular stump invagination.
Materials and Methods: The MASS (Modified Alvarado Score System) test was used to confirm the diagnosis of acute appendicitis. When necessary, an ECG & a chest X-ray were taken. All of the patients were put under spinal anesthesia for the procedure.
Findings: The appendicular stump of 305 patients were treated with simple ligation (161 patients) in group I, and ligation and invagination (144 patients) in group II. “Pyrexia, vomiting, serous discharge, wound infection, peritonitis, residual abscess, and post-operative pain in the right iliac fossa are all comparable after surgery. Paralytic ileus occurred in 2 (1.24%) of patients in groups I and 7(4, 36%) patients in group II, respectively, and was statistically significant.
Conclusion: Easy ligation of the appendicular stump after open appendectomy is advised since it is safe, simple, and takes less time.


Acute appendicitis, Appendectomy, Appendicular stump, Simple ligation, Invagination


How to Cite
Sherzad, F., Zafarzai, I., Saeed, S., & Sadat, G. A. (2023). Comparison of Simple Ligation versus stump Invagination in open Appendectomy. NUIJB, 2(01), 26–32. Retrieved from


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