Abstract

Background: The aim of the study is to draw a comparison between two appendectomy techniques of open appendectomy procedure entitled double ligation and stump inversion.
Methods: The study was designed retrospectively at two different points in time when one of these two techniques was performed in our department. At the first time period in 2008 (Group A) 166 double ligation appendectomies were performed in comparison to the latter in 2011 (GroupB) where 202 stump inversion have been carried out. The main outcome measures were postoperative complications and they were assessed according to the intention to- treat analysis principle.
Results: There was no mortality and overall complication rate was similar in both groups. A total number 60 simple wound infections treated with wound dressing. The cases of deep wound infections and abdominal abscesses underwent antibiotic treatment and four children in group B required reoperation. The only statistically significant outcome is that the period of hospital stay of groupB turned out to be longer than groupA.
Conclusion: Considering the main surgical principle of “the preference of the more simple technique”, we believe that; in performance of an open appendectomy, the preference of a double ligation technique would be more appropriate.