Laparoscopic management of appendicular lump

Authors

  • Manoj Kumar Chaudhary Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Mrinal Shankar Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Tridip Dutta Baruah Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Rubik Ray Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
  • Shubham Samal Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20203538

Keywords:

Appendicitis, Inflamed appendix, Appendicular lump, Laparoscopic management

Abstract

The surgical management of an appendicular lump remains controversial. With the revolution and advancement of laparoscopic instrumentation and technical learning curve, it is possible to remove an inflamed appendix in presence of lump. This retrospective study was performed between August 2018 and August 2019 in AIIMS Raipur, 86 patients were treated for appendicitis laparoscopically, in these 14 patients had appendicular lump at the time of admission. 12 patients (total 14; 2 patients were excluded) underwent laparoscopic intervention for appendicular lump. Average operative time were 90 minutes. Average post-operative hospital stay were 5 days. Post-operative complications were seen in 2 patients (surgical site infection). In histopathology report, appendicular inflammation suggestive of appendicitis were present in all operated cases. We conclude, early laparoscopic appendectomy confirms the diagnosis. It is safe and feasible in patients with appendicular lump. It reduces the treatment cost, early recovery and satisfactory overall outcome.

Author Biographies

Manoj Kumar Chaudhary, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

MBBS, MS (General Surgery)

 

General Surgeon

Laparoscopic Surgeon

 

Senior Resident in General Surgery, AIIMS Raipur

Mrinal Shankar, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

MBBS, MS, FMAS
Laparoscopic and General Surgeon

Senior Resident, AIIMS Raipur

Tridip Dutta Baruah, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Asso. Professor

Rubik Ray, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Asst. Professor

Shubham Samal, Department of General Surgery, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India

Post Graduate Junior Resident

References

Bahram MA. Evaluation of early surgical management of complicated appendicitis by appendicular mass. Int J Surg. 2011;9(1):101-3.

Teixeira FJR, Netto SDDC, Akaishi EH, Utiyama EM, Menegozzo CAM, Rocha MC. Acute appendicitis, inflammatory appendiceal mass and the risk of a hidden malignant tumor: a systematic review of the literature. World J Emergency Surg. 2017;12:12.

Patel BJ, Patel KH. A comparative study of appendicular lump management. Int Surg J. 2015;2(2):235-8.

Gedam BS, Gujela A, Bansod PY, Akhtar M. Study of conservative treatment in uncomplicated acute appendicitis. Int Surg J. 2017;4(4):1409-16.

Pandey CP, Kesharwani RC, Chauhan CG, Pandey MK, Mittra P, Kumar P, et al. Management of appendicular lump: early exploration vs. conservative management. Int J Med Sci Public Health. 2013;2:1067-70.

Ali S, Rafique HM. Appendicular mass: early exploration vs conservative management. Professional Med J. 2010;17(2):180-4.

Malik AA, Wani ML, Irshad I. Evaluating conservative treatment for acute appendicitis with lump formation. J Emergencies Trauma Shock. 2012;5(1):33-5.

Prasad BH, Prasanth G. Laproscopic management of appendicular mass. Int Surg J. 2018;5(4):1259-62.

Shindholimath VV, Thinakaran K, Rao TN, Veerappa YV. Laparoscopic management of appendicular mass. J Minim Access Surg. 2011;7(2):136-40.

Pandey CP, Kesharwani RC, Chauhan CGS, Pandey MK, Mittra P, Kumar P, et al. Management of Appendicular Lump: Early exploration Vs conservative management. Int J Med Sci Public Health. 2013;2(4):1046-9.

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Published

2020-08-27

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Section

Case Series