RESUMO
To determine the results of early surgical management of appendicular lump. Quasi experimental. Bolan Medical Complex Hospital Quetta, from January 2002 to January 2005. Eighty patients of appendicular mass were operated for early surgical management. All the patients operated. The choice of incision depended upon the operating surgeon. Pus collected was measured and send for culture and sensitivity. Duration of operation was measured. Primary wound closure was the aim. Complications noted and ward stay was noted for every case. Out of four hundred patients of acute appendicitis, eighty patients were having appendicular mass. There were 56 males and 24 females patients between 14 to 60 years of age. Male to female ratio was 2.33:1. Gridiron incision made in 68.75 percent, Rutherford Morrison incision in 18.75 percent, right lower Para median incision and lower midline incision made in 25 percent of the patients. Pus collection was found amounting between 20-60 ml. Lump was dissected with extra care. Operation time was between 50-100 minutes. Primary closure of the wound was done in all patients. Wound infection occurred in 18.75 percent of the patients. Most of the patients [82.5 percent] stayed for 4-7 days postoperatively, 11.25 percent patients stayed for 7-10 days and 6.25 percent patients stayed for 14 days due to wound infection. The results of early surgical management of appendicular mass showed benefits in terms of single admission in hospital, less time consuming and lower cost of treatment