DOI: 10.36347/sasjs

Pages: 1-8

Appendicular mass is a common complication of acute appendicitis if treatment is delayed. The traditional treatment is conservative one followed by interval appendectomy, nowadays early surgical exploration of the appendicular mass can be done with satisfactory results. This study aims to:1- Compare early exploration versus Interval Appendectomy for Appendicular mass; 2. To identify and compare the morbidity associated with early and interval appendectomy. A Prospective study was conducted from December 2014 to Nov 2015 at Basaveshwara teaching and general Hospital, Gulbarga. Total of 50 patients, both sexes with symptoms and signs consistent with appendicular mass were included. They were divided into group I (Early exploration) and group II (Interval appendectomy) each containing 25 patients. There was a peak incidence of acute appendicitis in 2nd and 3rd decades of life. Male to female ratio was 2.8:1. All patients in-group I had mass formation, 88% patients in-group II had recurring symptoms. Operative problems were more pronounced in-group I showing statistical significance. The complications though it was noted only in-group I did not show any statistical significance. There was a significant less duration of hospital stay in-group I as compared to group II. The observations and outcome in this study are comparable and correspond with other studies done in this regard. The following conclusion can be drawn from this study: Early surgical exploration of appendicular mass is safe and cost effective with no significant difference in rate of complications and patient compliance is better.