Prospective evaluation of conservative versus early surgical management of Appendiceal Mass

Vermiform appendix is considered to be a vestigial organ its importance in surgery results inflammation known as acute appendicitis. If appendix mass is present, standard treatment is the conservative Oschner Sherren regime. However it is based on the inflammatory process already formed and difficult to find the appendix and faecal fistula may form. But some cases may require surgical management if the clinical condition of the patient detoriates. This study is used to compare the conservative management versus early surgical management of appendiceal mass. The study was a prospective study conducted among 50 patients of appendiceal mass admitted in Department of General Surgery, RIMS during the period of September 2008 to March 2010 approval from institutional ethical committee and informed consent was taken. Data were entered in IBM SPSS and check for correlation before analysis. Analysis was done using Chi square test and ANOVAs. This study shows that higher hospital stay was noted in conservative group but the cost of treatment was same in both groups. Paralytic ileus and wound infection were common in early appendicectomy group. Thus, conservative management is a better management for a presenting with appendiceal mass.