Operation with appendectomy for appendiceal mass carries a high risk of complications compared with conservative treatment or drainage .
Drainage may lower the risk of treatment failure but entails a risk of complications .
INTRODUCTION The treatment strategy for appendiceal mass is controversial , ranging from operation or image-guided drainage to conservative treatment with or without antibiotics .
The aim of this study was to assess the various treatment modalities with respect to complications and treatment failure .
Is a long delay necessary before appendectomy after appendiceal mass formation? A preliminary report.
The st and ard treatment for an appendiceal mass is conservative therapy followed by appendectomy after 6 to 10 weeks . With the advent of antibiotics design ed to prevent the growth of anaerobes , early appendectomy can now be carried out without complication . The authors studied 56 patients with appendiceal mass formation , 26 ( group A ) treated conventionally and 30 ( group B ) treated by early appendectomy .  In group B , the infection rate was 17 % , the mean operating time was 38.7 minutes , the mean hospital stay was 15 days and there was an early return to work . The corresponding parameters for group A were an infection rate of 8 % , a mean operating time of 35.2 minutes , a hospital stay of 19.1 days and a late return to work . Furthermore , 15 % of the patients in group A had a recurrent acute episode during the waiting period . Overall , early appendectomy appears to be a safe and cost-effective treatment for appendiceal mass formation
Operation with appendectomy for appendiceal mass carries a high risk of complications compared with conservative treatment or drainage .
Drainage may lower the risk of treatment failure but entails a risk of complications .
INTRODUCTION The treatment strategy for appendiceal mass is controversial , ranging from operation or image-guided drainage to conservative treatment with or without antibiotics .
The aim of this study was to assess the various treatment modalities with respect to complications and treatment failure .