Immediate appendectomy for appendiceal mass

BACKGROUND
The aim of this retrospective study was to evaluate the safety and effectiveness of immediate appendectomy in patients presenting with appendicular mass.
METHODS
Forty-seven patients with appendicular mass were operated within 24 hours after admission to Vakif Gureba Training and Research Hospital, General Surgery Department, from January 2004 to April 2010. The appendiceal mass was diagnosed with physical examination, abdominal ultrasonography, and computed tomography, or during surgical exploration. Age and sex, duration of symptoms, physical examination findings at admission, operation details, intraoperative and postoperative complications, and length of hospital stay were analyzed for each patient.
RESULTS
There were 25 males (53.2%) and 22 females (46.8%), with a mean age of 37.23±15.60 (range: 14-75) years. The mean time from the onset of the symptoms to operation was 4.06±2.50 (range: 1-15) days. A simple appendectomy was performed in 38 (80.9%) patients. Twenty-nine (61.8%) patients were discharged and followed up without any complication after surgery. Wound infection was detected in 13 (27.7%) patients.
CONCLUSION
Immediate appendectomy in appendicular mass is a safe and effective alternative to conservative management.

Apendiküler kitlelerde erken apendektomi

AMAÇ
Bu retrospektif çalýþmanýn amacý, apendiküler kitle tespit edilen hastalarda erken apendektominin güvenirliðini ve etkinliðini araþtýrmaktýr.
GEREÇ VE YÖNTEM
Vakýf Gureba Eðitim ve Araþtýrma Hastanesi Genel Cerrahi Kliniði’ne Ocak 2004 ile Nisan 2010 tarihleri arasýnda baþvuran 47 hasta apendiküler kitle nedeni ile 24 saat içerisinde ameliyat edildi. Apendiküler kitle tanýsý fiziksel inceleme, karýn ultrasonografisi, bilgisayarlý tomografi ya da ameliyat sýrasýnda konuldu. Yaþ ve cinsiyet, semptomlarýn süresi, baþvuruda fiziksel inceleme bulgularý, ameliyat bulgularý, intraoperatif ve postoperatif komplikasyonlar ile hastanede yatýþ süresi her hasta için analiz edildi.
BULGULAR
Çalýþmaya 25 erkek (%53,2) ve 22 kadýn (%46,8) hasta alýndý. Ortalama yaþ 37,23±15,60 (daðýlým 14-75 yaþ) idi. Semptomlarýn baþlamasý ile ameliyat arasýnda geçen ortalama zaman 4,06±2,50 gündü (daðýlým 1-15 gün). Apendektomi 38 hastada (%80,9) uygulandý. Yirmi dokuz hasta (%61,8) cerrahi sonrasý herhangi bir komplikasyon olmaksýzýn taburcu edildi. Yara yeri enfeksiyonu 13 hastada (%27,7) saptandý.
SONUÇ
Erken apendektomi, apandiküler kitlelerde konservatif tedaviye alternatif güvenli ve etkili bir yöntemdir.