Comparism Study between Doing or Not of Purse String, Peritoneal Suturing &Cauterization of the Appendicular Stump after Appendectomy in Early and Late Post-Operative Complications

Abstract

The appendix averages 11 cm in length but can range from 2 to 20 cm. The diameter of the appendix is usually between 7 and 8 mm,the human appendix is considered a vestigial structure,acuteappendicitisis the commonest cause of acute abdominal pain in the world and appendectomy is the commonest abdominal operation. Acute appendicitis occurred due to obstruction of the appendicular lumen producing a close loop with resultant inflammation that can lead to necrosis and perforation. The surgical removal of the vermiform appendix is called an appendectomy, either by laparotomy or laparoscopy.Untreatedtheinflamed appendix may rupture, leading to peritonitis, followed by shock, and, if still untreated, death may occurred. This study was carried out in Al-Hussein hospital in Nissirryiacity throughone year period from April 2004 to March 2005on360 patients,165 males and 195females, ages range between 10-45years. 60 patients appendectomy with peruse string to the stump of appendix,60 patientswithout peruse string, 60 patients with cauterized the edge of the stump other 60 patients without, 60 patients with suturing of peritoneum during closure of abdomen other 60patientswithout. Using same surgical suture material to all patients, The aim of this study was to see the valueof pursue string procedures, cauterizing the edge of appendicular stump, suturing  of peritoneum in incidence of post-operative complications (early and late complication).There is no significant difference inform of early & late postoperative complications whether performedpurse string to the base of appendix after appendectomy or noting addition it may behad a harmful effect on the wall of caecum , also  did not need to suture the peritoneum but cauterize the edge of stump decreased the  incidence of post-operative complication especially wound infection and  intestinal obstruction  due to adhesion.