Laparoscopic management of appendicular mass

Abstract

Background: Appendicitis is inflammation of the appendix. In managing the patients with appendicular mass, many controversies arouse between conservative method of treatment and surgery, antibiotic therapy duration, drain usage, skin closure. This study evaluates the safety and efficacy of laparoscopic appendectomy in patients with complicated appendicitis.Methods: This is a retrospective study conducted in in Kamineni Institute of Medical Sciences, Narketpally, Nalgonda, April 2017 to August 2017. It included a total of 100 patients who were treated for appendicitis.Results: The numbers of male patients were 15, number of female patients were 7. The male to female ratio was 2:1. The patients age ranged from 14 to 48 years. The duration of treatment before admission ranged from 5 days to 10 days. Most of the patients had leucocytosis (68%) of greater than 10,000/mm3. All patients had undergone laparoscopic appendectomies within 24 hours. The average duration of stay in hospital was 5 to 10 days. No intra-operative complications were observed.Conclusions: This study concludes that laparoscopic appendectomy is more feasible in patients with appendicular mass.