E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research 


Redefining Management Strategy for An Appendicular Lump

Amit Tiwari, Tanweerul Huda, Vishal Bansal, Navneet Mishra.

Abstract
Background: Acute appendicitis is the most common surgical condition for which definitive treatment is an emergency appendectomy. If the treatment is delayed, appendicular lump/ abscess can result in 2-6% cases. Conventionally an appendicular lump is treated conservatively by Ochsner-Sherren regimen but 1020% of such patients fail to respond and later on require difficult operative intervention and there are exclusions for conservation also. Our study aims to develop a strategy for definitive management of appendicular lump.
Methods: Study was conducted on 54 patients admitted in L N medical college and J K Hospital with a diagnosis of appendicular lump clinically and radio-logically. All patients of both sexes, age 11 to 60 years were included. Patients were divided into two groups, Group 1- early surgical exploration and Group 2- conservative approach with Ochsner Sherren regimen followed by interval appendectomy.
Results: Out of 54, maximum patients were in the age group of 2130 years. The average duration of symptoms were 3-4 days. Group 1 included 34 patients who had an early surgical intervention and the second group of 20 patients was managed conservatively followed by interval appendectomy in 16 patients while 4 patients were lost to follow up. Mean hospitalization time was 4-5 days in Group 1 and 7-10 days in Group 2. No major differences were seen in postoperative complications in both the groups whether operated early or late after conservative management.
Conclusion: With the availability of modern operative & anaesthesia facilities, operative skills and good antibiotics a predictable and definitive course can be opted by an early exploration of the appendicular mass of any duration as it is the definitive treatment, reduces the hospital stay and more psychological satisfaction to patient and relatives and cost-effective too.

Key words: Appendicitis, Appendicular lump, Appendectomy, conservative, Ochsner Sherren regime


 
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How to Cite this Article
Pubmed Style

Tiwari A, Huda T, Bansal V, Mishra N. Redefining Management Strategy for An Appendicular Lump. Int J Surg Med. 2020; 6(5): 33-37. doi:10.5455/ijsm.Appendicular-Lump-075


Web Style

Tiwari A, Huda T, Bansal V, Mishra N. Redefining Management Strategy for An Appendicular Lump. http://www.ejos.org/?mno=115518 [Access: November 10, 2020]. doi:10.5455/ijsm.Appendicular-Lump-075


AMA (American Medical Association) Style

Tiwari A, Huda T, Bansal V, Mishra N. Redefining Management Strategy for An Appendicular Lump. Int J Surg Med. 2020; 6(5): 33-37. doi:10.5455/ijsm.Appendicular-Lump-075



Vancouver/ICMJE Style

Tiwari A, Huda T, Bansal V, Mishra N. Redefining Management Strategy for An Appendicular Lump. Int J Surg Med. (2020), [cited November 10, 2020]; 6(5): 33-37. doi:10.5455/ijsm.Appendicular-Lump-075



Harvard Style

Tiwari, A., Huda, . T., Bansal, . V. & Mishra, . N. (2020) Redefining Management Strategy for An Appendicular Lump. Int J Surg Med, 6 (5), 33-37. doi:10.5455/ijsm.Appendicular-Lump-075



Turabian Style

Tiwari, Amit, Tanweerul Huda, Vishal Bansal, and Navneet Mishra. 2020. Redefining Management Strategy for An Appendicular Lump. International Journal of Surgery and Medicine, 6 (5), 33-37. doi:10.5455/ijsm.Appendicular-Lump-075



Chicago Style

Tiwari, Amit, Tanweerul Huda, Vishal Bansal, and Navneet Mishra. "Redefining Management Strategy for An Appendicular Lump." International Journal of Surgery and Medicine 6 (2020), 33-37. doi:10.5455/ijsm.Appendicular-Lump-075



MLA (The Modern Language Association) Style

Tiwari, Amit, Tanweerul Huda, Vishal Bansal, and Navneet Mishra. "Redefining Management Strategy for An Appendicular Lump." International Journal of Surgery and Medicine 6.5 (2020), 33-37. Print. doi:10.5455/ijsm.Appendicular-Lump-075



APA (American Psychological Association) Style

Tiwari, A., Huda, . T., Bansal, . V. & Mishra, . N. (2020) Redefining Management Strategy for An Appendicular Lump. International Journal of Surgery and Medicine, 6 (5), 33-37. doi:10.5455/ijsm.Appendicular-Lump-075