Inversion-ligation Appendectomy for Incidental Appendectomy

Overview

Journal Am J Surg

Specialty General Surgery

Date 1991 Apr 1

PMID 2035769

Citations 6

Authors

G R Voeller

T C Fabian

Affiliations

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Abstract

Inversion-ligation appendectomy involves the following steps: (1) skeletonizing the appendix from its mesentery; (2) inverting the appendix via a blunt probe into the cecal lumen; (3) ligating the remaining nubbin of tissue; and (4) inverting the nubbin with a purse-string stitch. This procedure allows the surgeon to perform incidental appendectomy while avoiding transection of the appendiceal lumen with its attendant risk of enteric bacterial contamination.

Citing Articles

Symptomatic appendiceal intussusception-rare pitfall of the historical inversion technique.

Nan X, Pyle B, Kwik C, Nolan G J Surg Case Rep. 2024; 2024(2):rjae086.

PMID: 38404450 PMC: 10894681. DOI: 10.1093/jscr/rjae086.

Inverted appendix in a patient with colon cancer: a case report and long-term follow-up.

Aljalabneh B, Mureb A, Aljundi N, Al-Qasem K, Al-Masri M J Surg Case Rep. 2023; 2023(4):rjad206.

PMID: 37114088 PMC: 10125838. DOI: 10.1093/jscr/rjad206.

An inverted appendix found on routine colonoscopy: A case report with discussion of imaging findings.

Tran C, Sakioka J, Nguyen E, Beutler B, Hsu J Radiol Case Rep. 2019; 14(8):952-955.

PMID: 31193843 PMC: 6543180. DOI: 10.1016/j.radcr.2019.05.022.

Aseptic intussuscepted incidental appendectomy: three successful cases.

Rachmani E, Zachariou Z, Kessler U World J Pediatr. 2013; 9(4):369-72.

PMID: 23775680 DOI: 10.1007/s12519-013-0422-4.

Appendiceal inversion: a diagnostic and therapeutic dilemma.

Johnson E, Arcila M, Steele S JSLS. 2009; 13(1):92-5.

PMID: 19366551 PMC: 3015910.