Background: Acute appendicitis is the most common abdominal emergency. During open appendicectomy the best treatment of the appendicular stump has not been defined. This is a randomized control trial of simple ligation and simple ligation with invagination of appendicular stump. Methods: The diagnosis of acute appendicitis was based on the MASS (Modified Alvardo Score System). ECG and X-Ray chest were done when needed. All the patients were operated under spinal anesthesia. Results: Total 313 patients were operated and randomly divided into two groups, in group A appendicular stump was treated with simple ligation (n=166) and group B underwent ligation and invagination (n=147). Post-operative complications like pyrexia, vomiting, serous discharge, wound infection, peritonitis, residual abscess and post-operative pain in right iliac fossa are comparable in both the groups. Mean operating time in group A was shorter but statistically insignificant. The incidence of paralytic ileus was 3 (1.81%) and 8 (5.44%) patients in group A and group B respectively and was statistically significant. Conclusions: During open appendicectomy simple ligation of appendicular stump is recommended as it is safe, simple and having shorter operative time.
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