MANAGEMENT OF APPENDICULAR LUMP: SINGLE INSTITUTE EXPERIENCE IN A TERTIARY CARE CENTRE

Abstract

Background/Aim: In every surgeon's routine practice, one of the most common acute surgical condition is acute appendicitis. Appendicular lump is formation occurs if treatment is delayed, in around 2- 6% of patients. The standard management of appendicular lump is conservative, followed by interval appendectomy. If conventional treatment is followed around 10-20% of the cases are not resolved and lead to gangrene or perforation followed by appendicular abscess or generalised peritonitis requiring early surgical intervention. Our study is a comparison of early exploration versus conservative management of appendicular lump. Material and Methods:Aprospective study conducted on 200 patients who presented to emergency or surgical opd at a tertiary care centre in central Rajasthan, India. All patients presenting with an appendicular lump over a period of 2 years were included in the study. The participants were divided randomly into two groups; Group 1 consisted of people who underwent early surgical intervention and group 2, consisting of people in whom conservative approach with OCHSNER SHERREN REGIME followed by interval appendectomy was done. Results: Out of 200 patients, the majority were males belonging to the age group of 15–20 years. Clinical presentation was similar among both the groups, although complications were signicantly more among Gr(P-0.04). The mean hospital stay among group 2 was 6+/-1.8 days which was substantially less than that of group 2, 8+/-2.06 days.Conclusion: Thus, we concluded from the study ndings that early surgical exploration in cases of appendicitis helps in early diagnosis and treatment, decrease the hospital stay as well as complications thereby reducing the cost of treatment.