John Veslin, T (2020) A Prospective Comparative study of Interval Appendicectomy Vs Conservative Management with follow up in appendiceal mass in GRH Madurai. Masters thesis, Madurai Medical College, Madurai.
|
Text
220100320john_veslin.pdf Download (2MB) | Preview |
Abstract
BACKGROUND: Acute appendicitis is the most common cause of “acute abdomen.” In the 2 to 6 % of cases if not treated early it may develop in to an appendiceal mass. Conventionally conservative treatment followed by interval appendectomy is so far followed. Recent studies discourage the role of interval appendectomy. Hence our study is focused on the pros and cons of interval appendectomy. AIM AND OBJECTIVES: That objectives of that study were- 1. To study that outcome of appendicular mass patients on conservative management followed by interval appendectomy against conservative management alone with regular follow up. 2. To evaluate that risks of interval appendicectomy. METHODS: Fifty patients with the clinical diagnosis of appendicular mass admitted in our hospital from AUGUST 2017 to AUG. 2018 – 1 year are divided in to two groups I and II. The group I was treated with conservative management alone with continued follow up. The group II treated with conservative management followed by interval appendectomy. In each the age and sex incidence, rate of the recurrence, complications are studied, statically analysed and interpreted. RESULTS: The age and sex distribution in both groups 1 and 2 showed no much deviation. . In the group I recurrence was observed in 4 (16%) and in group II 9 patients (36%) that means the rest of (84%) and (64%) does not need any surgical intervention. Major complications like adhesive obstruction (36%), enterocutaneus fistula (4%) and were observed in interval appendectomy group showing the more morbidities following interval appendectomy. Duration of hospital stay also more in interval appendicectomy group. CONCLUSION: In our study for appendiceal mass management, conservative management with interval appendectomy showed the incidence of appreciable major complication and the incidence of recurrence is low. In conservative management alone with continued follow up the incidence of recurrence is less and the complications are not much. Hence we conclude that the conservative management with continued follow up is the management of choice.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711108 |
| Uncontrolled Keywords: | Interval Appendicectomy, Conservative Management, appendiceal mass, GRH Madurai. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 01:20 |
| Last Modified: | 10 Feb 2021 01:21 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13967 |
Actions (login required)
 |
View Item |
