Is Laparoscopic Appendectomy Safe in Appendicular Mass

Abdul Razqque Shaikh. liaquat University of Medcial Health & Sciences Jamshoro Pakistan

Objectives : to evaluate the safety and efficacy of laparoscopic treatment of appendicular mass

Materials & Methods : a prospective study was conducted at Liaquat University of Medical Health & Sciences Jamshoro Pakistan and a private hospital from January 2011 to December 2013 on all adult cases of appendicular mass treated by laparoscopy.

RESULTS : Total cases of acute appendicitis were 231, out of which appendicular mass were 30 cases (12.98%). Males were 19 and females were 11 cases. Age ranged from 25 to 60 years (median 35 yeas). Operation time was 100 minutes (Range 60-150 min.).There was one (3.33%) conversion to open. Postoperative stay was 4 days ( range 3-6 ). Resumption of diet was on second day (1-3). Postoperative complications were wound infection in 2 cases (6.45%), intra abdominal abscess in in one case (3.33%) and prolonged ileus in one case (3.33%).

CONCLUSION : appendicular mass can be treated by laparoscopy safely and avoids the second hospital admission

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