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Appendix mass: do we know how to treat it?

I Ahmed1, D Deakin, S L Parsons

  • 1Department of General Surgery, Queen's Medical Centre, Nottingham, UK. irfan.ahmed@ntlworld.com

Annals of the Royal College of Surgeons of England
|May 20, 2005
PubMed
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Management of appendiceal mass varies among surgeons, with most still performing interval appendectomy. However, specialist registrars are less likely to recommend this procedure after conservative treatment, indicating a lack of consensus.

Area of Science:

  • General Surgery
  • Surgical Management
  • Appendiceal Mass Treatment

Background:

  • Traditional management of appendiceal mass involves conservative treatment followed by interval appendectomy.
  • Recent evidence questions the necessity of routine interval appendectomy.
  • Current management practices for appendiceal masses require investigation.

Purpose of the Study:

  • To review scientific evidence on appendiceal mass management.
  • To determine current regional management protocols for appendiceal masses.
  • To identify variations in surgical approaches to appendiceal masses.

Main Methods:

  • Comprehensive literature search using multiple databases (Medline, Embase, Cinahl, HMIC, Biosis).
  • Survey of 67 general surgeons in the Mid-Trent region regarding management of three clinical scenarios.

Related Experiment Videos

  • Analysis of survey data using Microsoft Access 2000.

    • Main Results:

    • Significant variation in opinion regarding appendiceal mass management was observed.
    • Appendectomy (interval or emergency) is performed by 75% of surgeons.
    • Less than 25% of surgeons manage asymptomatic masses without interval appendectomy; specialist registrars are less likely to recommend it (P < 0.05).

    Conclusions:

    • There is currently no agreed consensus on the optimal management of appendiceal mass.
    • A standardized protocol for managing appendiceal masses is needed.
    • Further research may clarify best practices for appendiceal mass treatment.