Early Versus Interval Appendisectomy in Cases of Appendicular Mass Surgery

Résumé

Introduction: Acute appendicitis is one of the maximum not unusualplace surgical emergencies worldwide. An appendiceal mass is observed in about 10% of sufferers with acute appendicitis. Inflammatory loads are the end result of untreated appendicitis and may constitute a spectrum. Objective: To assess the early versus interval appendicectomy in cases of appendiceal mass hernia surgery. Methods & Materials: This hospital based prospective study includes 50 consecutive cases diagnosed with appendicular mass admitted in Dept. of Surgery, Cox's Bazar Medical College Hospital, Cox's bazar, Bangladesh from January to December 2023. Results: Total 50 cases, the mean age of patients was 27.58 (SD 8.11) years ranging from 13 to 48 and majority of patients (50%) belonged to age group of 21-30 years. There was male preponderance (70%) with male to female ratio of 2.33:1. In group I, the operative finding in majority (68%) of the patients was simple mass, 7 had adhesions and loculated pus in 1. In group II the operative finding in majority (54.5%) of the patients was a normal finding, 3 had simple mass, 5 had adhesions, 1 had loculated pus and adhesive intestinal obstruction in 1. Abdominal pain was the most common symptom presented by patients. There are no significant differences in operative problems between the two treatment methods reviewed here. Conclusion: In conclusion, low morbidity, short hospital stay, low cost, and patient compliance argue for surgical treatment of appendicular mass by experienced surgeons, thus making unnecessary the traditional practice of conservative treatment followed by interval appendectomy.