Acute appendicectomy for appendicular mass: a study of 87 patients.
OBJECTIVE
To study the feasibility of acute appendicectomy in patients with an appendicular mass.


METHODS
Department of Surgery, Bankura Sammalani Medical College (BSMCH), Bankura, West Bengal, India.


METHODS
From January 1998 to May 2001. 87 patients were diagnosed and operated for appendix mass within 24 h of admission. None of the patients had any associated complications.


METHODS
A McBurney's incision with Rutherford-Morrison extension was made in most patients.


RESULTS
48 patients presented with a classical appendix mass. 25 patients (28.7%) had classical features of appendix abscess, and in 14 (16.1%) a loculated collection of pus (10 to 50 ml) was found. Operative time ranged from 45 to 90 min (mean 65). Pathologic evidence of appendicitis was present in all patients. 71 patients were discharged on the seventh postoperative day. 15 patients developed minor wound infection. One patient developed band obstruction, which subsided spontaneously on conservative treatment. Rest of the patients are doing well.


CONCLUSIONS
Low morbidity, reduced hospital stay, low cost and patient compliance favour operative management of appendicular mass by experienced surgeons thus obviating the old practice of conservative treatment followed by interval appendicectomy.
De
Utpal
U
Department of Surgery, Bankura Sammalani Medical College and Hospital, Bankura, W. Bengal, India. utpalde@vsnl.net
Ghosh
Shibajyoti
S
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001062:Appendectomy; D001064:Appendicitis / Q000473:pathology / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged