COMPARISON OF NON-INVAGINATION VERSUS INVAGINATION OF APPENDIX STUMP FOLLOWING APPENDECTOMY
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Keywords
Efficacy, Invagination, Appendix Stump, Appendectomy, Wound Infection
Abstract
Objective: To compare the efficacy of non-invagination versus invagination of appendix stump following appendectomy in terms of wound infection.
Study Design: Comparative Study.
Setting: Department of Surgery Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan.
Duration: Six months after the approval of synopsis from September 2020 to March 2021.
Materials and Methods: All patients who fulfilled the inclusion criteria and visited to SMBBMU, Larkana were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. The patients were randomly divided into two groups using computer-generated sequential number placed in sealed envelopes and opened only before the commencement of the study. In Group A after ligation and trans fixation, invagination of stump was done, while in group B only simple ligation and trans fixation of appendicular stump was done. Post-operative fever, vomiting if any and wound infection was noted. All the collected data were entered into the proforma attached at the end and used electronically for research purpose.
Results: Mean ±SD of age in group A was 29.3±6.3 and group B was 28.4±5.8 years. In group wise distribution of gender, 50 (57.4%) male and 37 (42.6%) females were enrolled in group A while 55 (63.2%) male and 32 (36.8%) females were included in group B. In comparison of efficacy, non-invagination was found to be effective in 05 (5.7%) while invagination was found to be effective in 14 (16.1%) patients after appendectomy and P value found to be significant i.e. (P=0.029).
Conclusion: It is to be concluded that significant difference was noted between non-invagination versus invagination in term of efficacy.
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Pooja Kumari
Consultant Surgeon, Chandka Medical College Hospital, Larkana - Pakistan
Aisha Shaikh
Associate Professor Surgery, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana - Pakistan
Ibrahim Asghar
Assistant Professor Surgery, Gambat Institute of Medical Sciences, Gambat - Pakistan
Sughran Khatoon
Consultant Surgeon, Chandka Medical College Hospital, Larkana - Pakistan
Muhammad Muqeem
Assistant Professor Surgery, Gambat Institute of Medical Sciences, Gambat - Pakistan
Saira Fatima
Associate Professor Surgery, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana – Pakistan