The Role of Interval Appendicectomy in Follow Up Cases of Appendicular Mass and Abscess in a Tertiary Care Centre in Odisha

Dr. Durga Prasad Sahu, Dr. Pravat Kumar Majumdaar

Abstract: Background: An appendicular mass is one of the most common complications seen in patients presenting a few days later after the onset of acute appendicitis. The ideal treatment of acute appendicitis is considered to be appendectomy failing which a number of complications, including an appendicular mass, usually result. Traditionally acute appendicitis was principally diagnosed on repeated physical examinations after active observation, without much reliance on laboratory investigations. Greater reliance on putatively objective tools for the diagnosis can delay the diagnosis and has changed the outlook for some patients. Delayed diagnosis changes the uncomplicated simple acute appendicitis into complicated appendicitis. Reluctance for surgery is common in the world where most of the population lives below the poverty line and a single member may generate the income for the whole family. For this reason, time off work can be difficult for some. Another important factor is a general fear of surgery amongst much of the population. Additional factors that contribute to the development of an appendicular mass include lack of health facilities in remote under resourced areas. In some rural areas general practitioners often keep the patient on symptomatic therapy rather than referring to a higher-level hospital. Aim of the study: 1) The purpose of this dissertation is to analyse the follow up cases of treated cases of appendicular mass and abscess and ascertaining the role of interval appendicectomy. 2) To analyse and compare the clinical response of appendicular mass and abscess treated conservatively and surgically. 3) To assess the role of interval appendicectomy and its benefit during the follow up of these cases. Results: Results: Interval appendicectomy is considered to be beneficial in a conservatively treated case of complicated appendicitis because of less recurrence, Low conversion rate, less complication rate and less hospital stay.

Keywords: Appendicular mass management, interval appendectomy, complicated appendicitis care, conservative versus surgical treatment, recurrence prevention

How to Cite?: Dr. Durga Prasad Sahu, Dr. Pravat Kumar Majumdaar, "The Role of Interval Appendicectomy in Follow Up Cases of Appendicular Mass and Abscess in a Tertiary Care Centre in Odisha", Volume 14 Issue 12, December 2025, International Journal of Science and Research (IJSR), Pages: 1736-1740, https://www.ijsr.net/getabstract.php?paperid=SR251221123924, DOI: https://dx.doi.org/10.21275/SR251221123924