The question of the disposal of the appendix stump is still a mooted one. It has not been universally settled among surgeons whether they prefer to bury the stump of the appendix or to content themselves with simple ligature.
The convincing article of Seligmann, written a few years ago, in favor of simple ligature of the appendix has converted many to this easy method of dealing with it. In the light of recent experience it would seem to be largely a question of whether the case was an infected one; in other words, whether drainage was used or not. In those cases in which it is necessary to use drainage after amputation of the appendix, burial of the stump is not necessary, as, in the event of a fecal fistula, exit is provided; but in the clean cases it seems well established now that the raw surface should be covered
JACK HP. SHALL WE BURY THE STUMP OF THE APPENDIX? A NEW AND SIMPLE METHOD OF DOING SO. JAMA. 1909;LII(11):881–883. doi:10.1001/jama.1909.25420370039004a
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