Simple ligation vs stump inversion in appendectomy

D. Street, B. I. Bodai, L. J. Owens, D. B. Moore, C. B. Walton, James W Holcroft

Research output: Contribution to journalArticlepeer-review

35 Scopus citations


The records of 886 patients who had appendectomy performed by the same surgeons within a five-year period were used to contrast appendiceal stump inversion vs simple ligation. Our analysis contrasted inversion vs simple ligation techniques as related to postoperative complications, hospital stay, and pathologic diagnosis. Adhesions requiring repeated operation to relieve bowel obstruction occurred in five of 87 patients with acute gangrenous appendicitis treated by inversion. Of 106 patients with acute gangrenous appendicits treated with simple ligation, postoperative obstruction developed in none. No other statistically significant differences existed between the two techniques. These data suggest that simple ligation is at least as good as and probably better than inversion of the appendiceal stump.

Original languageEnglish (US)
Pages (from-to)689-690
Number of pages2
JournalArchives of Surgery
Issue number6
StatePublished - 1988

ASJC Scopus subject areas

  • Surgery


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