Introduction:

Acute appendicitis in Mexico is one of the leading causes of acute surgical abdomen in most of the country’s hospitals. The appendix perforation is a frequent complication associated to the time of evolution.

Objective:

Describe the knotting technique with seromuscular transfixed point for the management of the stump in appendicitis with perforation or necrosis at the proximal third.

Material and methods:

We designed a technique that consists in the placement of transfixed seromuscular suture in one or two places at the appendiceal base near to the perforation or necrosis area. It was designed a cohort study founded on a prospective database, in which we assess patients with perforation or necrosis at the appendiceal base.

Results:

We realized 20 appendectomies, in which 11 were laparoscopy and 9 cases with open technique, with management of the stump with the placement of an anchorage transfixed seromuscular suture in the appendiceal base. No postoperative complications were developed.

Conclusions:

Despite modern devices for the appendicular stump closure, it is still difficult to close perforations at the base of the cecum. In complicated appendicitis with perforation at the proximal third, the technique that we used for approaching the stump is an effective and safe option.

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