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With appendectomy, is it common to invert the stump into the cecum?
I am interested in historical perspectives of appendectomy, but also interested in how it's done today. I'd be interested in how it used to be done in prior decades, as well as how it's done today, in relationship to the treatment of the stump, and whether "burial" through inversion is/was common.
asked Jan 22, 2010 at 02:32PM in Surgery
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0VotesDuring an appendectomy ( http://wiki.medpedia.com/Appendectomy ) it was once the standard to perform invagination of the appendiceal stump into the cecum. The advent of surgical stapler use rather than suture ligature of the appendix decreased the rate of inversion, and the change from the traditional open appendectomy to the laparoscopic procedure performed more commonly today has decreased this even more. The open procedure is still performed, however, and it is not uncommon for a surgeon to invert the stump during an open appy. Several articles ( http://www.ncbi.nlm.nih.gov/pubmed/8950444 , http://www.ncbi.nlm.nih.gov/pubmed/1841014 , http://www.ncbi.nlm.nih.gov/pubmed/3285806 ) have demonstrated no significant difference in complications and outcomes between procedures performed with stump inversion and those without.
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