The appendix stump insufficiency. Clinical appearance forms and treatment

: Early manifestation of insufficiency of the appendiceal stump appearing as a diffuse peritonitis with a septicemic general state has led to the death of 6 of 10 patients treated here. One has to suppose that these complications have additional unknown causes. Insufficiency of the stump, with or without necrosis of the cecum, can only be discovered with active procedures and than treated in the appropriate way. Each of these patients has been lost when there has been no courage for reintervention or even an excuse for providing intensive medical treatment with respiration aid and hemodialysis. As a rule, the fecal fistula appears during postoperative days 5-8 without diffuse peritonitis and should be treated in a conservative way; spontaneous fading away should be expected and operative occlusion should not be started before a 3 month interval.