Early appendectomy in appendicular mass

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 appendicular mass. Patients and methods: The analysis was performed at the Department of Surgery Al-Shafaa Hospital Diyala from March 2017 to December 2021. The patients with appendicular mass (n = 100) were included in this study. Patients were divided into two groups, viz. group A (n = 50) and group B (n = 50), regardless of age and gender. After preliminary investigations, appendectomy was performed in group A patients immediately. Group B patients were initially treated with the conventional procedure followed by interval appendectomy. Patient compliance, readmission and overall expenses were recorded for both groups. Results: A total of 60 (64%) males and 40 (40%) 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 3 (6%) patients in group A. Treatment failure, patient compliance, readmission and overall expenses occurred in group B patients. Early appendectomy was a safe and superior option in patients with appendicular mass compared to conventional treatment.
 
Keywords: Acute appendicitis. Appendicular Mass, Conservative management, immediate surgery.