Early appendicectomy in appendicular mass--a Liaquat University Hospital experience.

OBJECTIVES

Appendicular mass is a well-known complication of acute appendicitis. It is conventionally treated conservatively followed by interval appendectomy. This study aimed to determine the feasibility and safety of an early appendectomy in these cases.

STUDY DESIGN

Descriptive and comparative.

PLACE AND DURATION

Department of Surgery Liaquat University Hospital, Jamshoro/Hyderabad from March 2003 to December 2007.

METHODS

One hundred and seventy six (176) patients with appendicular mass were included in this study. Patients were conveniently divided into two groups, A and B with equal distribution of cases (88 Patients each), regardless of age and sex. Immediate appendicectomy was performed in group A patients after preliminary investigations, where as patients in group B were initially treated conservatively followed by interval appendicectomy.

RESULTS

A total 114 (64.8%) males and 62 (35.2%) females with a mean age of 25.09 years (Range 8-44 years) are included in the study population. Post-operative wound sepsis occurred in 17 (19.31%) patients in group A. Treatment failure, patient compliance, re-admission and overall expenses are main limitations in group B population.

CONCLUSION

Early appendicectomy is a safe and superior option in patients with appendicular mass compared to conventional treatment.