Volume : 7, Issue : 4, April - 2018

Interval Appendicectomy - Is it really required?

Dr. Altaf Ahmed Malik, Prof. Ajaz Ahmad Rather

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Background:The need for interval appendicectomy after successful conservative management of appendicular mass has been questioned recently. Traditional approaches are making way for new modalities.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Objective: To evaluate need for interval appendicectomy in patients treated conservatively for appendicular mass.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Method: This prospective study was done in SKIMS Medical College Hospital, Srinagar, India from July 2014 to March 2018. 54 patients treated conservatively for appendicular mass were enrolled till March 2017 and a followed up for 1 year.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results: Interval appendicectomy was not performed routinely. Appendicectomy was required in 5 patients (9.26%) for recurrent appendicitis. Two patients developed appendicular abscess (3.7%) and were operated upon. Conservative treatment was successful in 47 patients (87.04%).<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><span lang="EN-IN" style="font-size:12.0pt;mso-bidi-font-size:11.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Conclusion: Routine interval appendicectomy after successful conservative management of appendicular mass is not warranted. <o:p></o:p></span></p>