Long-term Outcome of Non-operative Management of Appendiceal Mass

Authors

  • Siripong Prasertsuntarasai Division of General Surgery, Department of Surgery, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
  • Supalerk Preechayuth Division of General Surgery, Department of Surgery, King Chulalongkorn Memorial Hospital, Bangkok, Thailand

Abstract

Objective: The objective of this study was to study long-term outcome of non-operative management in patients with appendiceal mass.

Material and Methods: Medical records of patients with appendiceal mass admitted to King Chulalongkorn Memorial Hospital (KCMH) during 1998-2007 were reviewed. Masses were confirmed by ultrasonography or CT scan. Data including complications and time-interval of recurrent appendicitis were obtained.

Results: Of 35 patients, 17 underwent non-operative management and 18 underwent interval appendectomy at the mean duration of 3 (1-10) months. Mean follow-up time was 40 (1-112) months. Of 17 patients with non-operative management, 4 (23.5%) had recurrent appendicitis within 6 months and underwent appendectomy. Two of these 4 patients had postoperative complications including gut obstruction and re-appendectomy. Appendicitis could not be demonstrated by pathological examination in 8 out of 18 with interval appendectomy (44%). Five of 18 patients (27%) had postoperative complications including wound infections and intraabdominal collection.

Conclusions: Non-operative management of appendiceal mass can be safely performed. Appendectomy should be reserved only when recurrent symptom occurred. Further investigation with larger population should be obtained.

References

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Published

2007-06-29

How to Cite

1.
Prasertsuntarasai S, Preechayuth S. Long-term Outcome of Non-operative Management of Appendiceal Mass. Thai J Surg [Internet]. 2007 Jun. 29 [cited 2024 Dec. 23];28(2):57-60. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/241336

Issue

Vol. 28 No. 2 (2007): April - June

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.