COMPARISON OF LIGATURE VS CLIPPING OF APPENDICEAL STUMP IN LAPAROSCOPIC APPENDECTOMY IN TERMS OF LEAKAGE

ABSTRACT
Introduction: Acute appendicitis is one of the most common surgical emergencies with an incidence of roughly 6-12%.
Objective: To compare ligature with clipping of appendiceal stump in laparoscopic appendectomy in terms of leakage.
Setting: Surgical unit Hayatabad Medical Complex Peshawar.
Study Period: July 2013 to July 2015.
Methods: This randomized control study was conducted after taking permission from local ethical and research
committee. A total of 620 (310 in each group) patients were observed with group A (clipping) and group B (ligature).
Moreover consecutive, non- probability sampling technique was used for sample collection.
Results: In this study age distribution was analyzed as in group A (Clipping), mean age was 27 years with SD ± 2.31
and in Group B (Ligature), mean age was 30 years with SD ± 3.36. In group A (Clipping) 56% patients were male and
44% patients were female. Where as in Group B (Ligature), 60% patients were male and 40% patients were female. In
group A (Clipping) 2% patients had stump leakage while in Group B (Ligature) 4% patients had stump leakage.
Conclusion: Our study concludes that there is no difference between ligature and clipping of appendiceal stump in laparoscopic
appendicectomy in term of leakage as the incidence of leakage in ligature was 4% while in clipping it was 2%.