APPENDICULAR MASS- EARLY APPENDICECTOMY VS INTERVAL APPENDICECTOMY

Appendicular mass is a well-known complication of acute appendicitis which is normally treated conservatively followed by interval appendectomy. The aim of the present study was determine the feasibility and safety of an early appendectomy in comparison to interval appendicectomy.Descriptive and comparative. Place and Duration: Department of Surgery, R D Gardi Medical college, Ujjain from May 2010 to May 2013. 92patients with appendicular mass were included in this study. Patients were randomly divided into two groups, A and B, 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.Out of total 92 cases of appendicular mass, 62(67%) males and 30(33%) females were included in the study population ranging in age from 15 to 60 years. Post-operative wound sepsis occurred in 5 (10.8%) patients in group A & 2(4.3%) in group B. Treatment failure, patient compliance, re-admission and overall expenses are the main limitations in group B population.Early appendicectomy may be as safe as and superior option in patients with appendicular mass compared to conventional treatment followed by interval appendicectomy.