ABSTRACT

Acute appendicitis is the most common abdominal emergency surgical disease. It is suggested that between 6.7% and8.6% of the people of the Western world submit appendicitis at some point in their lives. The study results will shows that which of the procedure has low rate of infection as there is diversity and conflict of data in existing literature.

Objectives: To compare wound infection in simple ligation of appendicular stump versus stump invagination after appendectomy.

Subjects and Methods: It was a Randomized controlled trial study conducted in the admitted patients of acute appendicitis in the Department of Surgery, Khyber Teaching Hospital, Peshawar from 1stJanuary, 2017 to 31stDecember, 2019. Total of 500 patients were enrolled in the study and they were randomly allocated Group A or Group B by a draw equally. Both the groups were kept under observation in the hospital for 10 days and data were collected before discharged.

Results: A total of 500 patients of 250 patients of acute appendicitis were observed, which were divided in two equal groups. Overall Male to female ratio was 1.19:1. The overall average of the patients was33.01 years +9.30SD. Wound infection wise distribution shows that Group A patients have less wound infection 5.6% than Group B patients (7.2%) patients with insignificant group p-value=0. 292.

Conclusion: It is an equivalent technique as the benefits gained through improved quality of life were offset by the effect of wound infection. Were commend that the choice of the procedure be based on surgeon or patient preference.

Keywords: ligation, stump invagination, appendicular stump, acute appendicitis, wound infection