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Related Experiment Videos

Appendicitis with a palpable mass

J S Jordan, P J Kovalcik, C W Schwab

    Annals of Surgery
    |February 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Immediate surgery for abdominal masses due to appendicitis allowed appendectomy in most patients, avoiding a second admission. This approach, while having a 35.7% complication rate, resulted in no patient deaths.

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    Area of Science:

    • Gastroenterology
    • Surgical Procedures
    • Abdominal Surgery

    Background:

    • Abdominal masses from appendicitis often present diagnostic challenges.
    • Distinguishing between phlegmon and abscess preoperatively can be difficult.

    Purpose of the Study:

    • To evaluate the efficacy and outcomes of immediate surgical intervention for abdominal masses caused by appendicitis.
    • To determine if immediate appendectomy can obviate the need for a second surgical admission.

    Main Methods:

    • Retrospective analysis of 42 patients with abdominal masses due to appendicitis.
    • All patients underwent immediate surgical exploration and management.
    • Surgical approach focused on appendectomy when feasible.

    Main Results:

    Related Experiment Videos

    • Immediate surgery enabled appendectomy in most patients, preventing a subsequent admission for appendectomy.
    • No mortality was observed in the study cohort.
    • A complication rate of 35.7% was recorded, with potential reduction through open wound management.

    Conclusions:

    • Immediate surgical management of appendicitis-related abdominal masses is effective in achieving appendectomy.
    • Early surgical intervention can prevent the need for re-admission.
    • Wound management strategies, such as leaving skin wounds open, may reduce complication rates.