Surendar, M (2014) A study on emergency appendectomy in per-operative appendicular mass. Masters thesis, Stanley Medical College, Chennai.
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Abstract
INTRODUCTION: Acute appendicitis is acute inflammation of appendix. Acute appendicitis is one of the most common surgical emergencies in acute abdomen. Most of the cases are taken into emergency surgery based on a combination of history, physical examination and laboratory studies approximately 80% of the time. In emergency we go for open / lap appendectomy. In case of open appendectomy we may encounter phlegmon or an appendicular mass peroperatively. METHODS: Appendicular mass is one of the early complications of acute appendicitis. It comprises of omentum, caecal wall and loop of ileum enclosing the appendix. My study deals with emergency appendectomy done for appendicular mass during such circumstances. Patients are subjected to surgery and observed. In this study 54 cases of acute appendicitis which were taken up for emergency appendectomy and were per-operatively found as appendicular mass was studied Post operative complications as fever, pelvic abscess, fistula and sepsis are watched over. They are observed during the hospital stay and periodically after discharge. RESULTS: The following observation were made and tabulated as Operative findings, Total operating time and Post operative complications. The operative timings and the operative findings determine the outcome of the surgery. Most cases the operative timing was around 60-90 mins. Out of the 54 patients 14 of them developed fever, 4 of them developed pelvic abscess and fistula for one case and rest of them went uneventful. CONCLUSION: Appendicitis complicated by appendicular mass formation is encountered by delay in initial treatment. Appendicular mass intervened by emergency surgery ensures complete recovery for the patient at first admission. Emergency appendectomy rules out other possibilities. The peroperative findings and operative timings decide the outcome of the surgery. On follow up the most common complication is fever. Initial intervention reduces the hospital stay and further morbidities. To conclude Emergency appendectomy is safe and feasible in appendicular mass.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | appendix ; appendicular mass ; appendectomy. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 05 Jul 2018 03:44 |
| Last Modified: | 05 Jul 2018 17:36 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8642 |
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