THE ROLE AND PROCEDURE OF INTERVAL APENDECTOMY IN FOLLOW-UP CASES OF APPENDICULAR MASS AND ABSCESS IN TERTIARY CARE IN KALABURAGI

Introduction: An appendicular tumor is among the most common adverse effects seen in patients who show symptoms a few days after the onset of acute appendicitis. The optimum treatment for acute appendicitis is generally thought to be an appendectomy if this is not done, a number of complications, including an appendicular mass, usually occur. In the past, active observation and frequent physical examinations were the main methods used to diagnose acute appendicitis, with little to no reliance on laboratory tests. A greater reliance on purportedly objective diagnostic instruments can cause delays in diagnosis and has altered the prognosis for certain patients. Delays in diagnosis can lead to the development of severe appendicitis from simple, acute appendicitis. Surgery is a common procedure avoided by many in a nation where the majority of people live in poverty and one person may earn all of the familys income. This is the reason why some people find it difficult to take time off of their jobs. The fact that a big percentage of people are normally afraid of surgery is a major contributing factor. The growth of an appendicular tumor can also be caused by other factors, such as the lack of medical facilities in remote, impoverished areas. General practitioners in some rural areas sometimes keep patients on symptomatic therapy rather than sending them to a higher-level hospital. Aim of the Study: In order to better understand the function of interval appendicectomy, this dissertation will examine the outcomes of treated cases with appendicular mass and abscess. to compare and assess the clinical results of appendicular masses and abscesses treated surgically versus conservatively. to assess the benefits and usefulness of interval appendicectomy while these cases are being monitored. Material and Methods: • Research period: November 1, 2022–August 31, 2023 study location: Kalaburagis Basaveshwara Teaching and General Hospital, which is connected to Mahadevappa Rampure Medical College. This study design is known as prospective research. • Data analysis: The relevant statistical test will be applied after the data has been entered into MS Excel and tabulated. • Sample size: Diagnoses of appendicular masses and abscesses are considered, as are all patients admitted to different surgical wards within the study timeline. Results:Interval appendicectomy is considered beneficial in patients of severe appendicitis managed conservatively due to its low conversion rate, lower recurrence, lower complication rate, and shorter hospital stay.