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World J Surg Proced. Nov 28, 2013; 3(3): 47-53
Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.47
Published online Nov 28, 2013. doi: 10.5412/wjsp.v3.i3.47
Back to basics: A meta-analysis of stump management during open appendicectomy for uncomplicated acute appendicitis
Gianpiero Gravante, Ashish Kelkar, Department of Colorectal Surgery, Kettering General Hospital, NN16 8UZ Kettering, United Kingdom
Shuker Yahia, George Mathew, Department of Colorectal Surgery, George Eliot Hospital, CV10 7DJ Nuneaton, United Kingdom
Roberto Sorge, Department of Human Physiology, Laboratory of Biometry, University of Rome "Tor Vergata", 00173 Rome, Italy
Author contributions: Gravante G and Yahia S collected and analysed the data and wrote the article; Sorge R performed the statistical analysis on data, interpreted them and critically revised the article; Mathew G and Kelkar A contributed to conception and design of the article and critically revised it; all authors gave the approval to the final draft.
Correspondence to: Gianpiero Gravante, BSC, MBBS, PhD, Department of Colorectal Surgery, Kettering General Hospital, Rothwell Road 10, NN16 8UZ Kettering, United Kindom. ggravante@hotmail.com
Telephone: +44-116-168244 Fax: +39-623-3216592
Received: July 28, 2013
Revised: September 2, 2013
Accepted: September 14, 2013
Published online: November 28, 2013
Revised: September 2, 2013
Accepted: September 14, 2013
Published online: November 28, 2013
Core Tip
Core tip: Despite the increased use of the laparoscopic approach, open appendicectomy is an operation still performed on a large scale worldwide. Two main approaches exist for the stump closure, the simple ligation and the stump invagination. Compared to the simple ligation the invagination of the stump aim to provide an extra safety measure for the prevention of postoperative complications, but the study demonstrated that in cases of non-complicated appendicitis it increases the risks of postoperative ileus and does not decrease the wound infections rate.