Title

Comparative study of early versus interval appendicectomy in appendicular mass

Authors

Rakesh Shakya¹*, Sandeep Sharma¹, Kaushlendra Singh Narwariya¹, Krishna Pratap Singh² & Parul Nema³

Affiliation

¹Department of General Surgery, SRVS Medical College Shivpuri, Madhya Pradesh, India; ²Department of General Surgery, Motilal Nehru Medical College Prayagraj, Uttar Pradesh, India; ³Department of Pathology, SRVS Medical College Shivpuri, Madhya Pradesh, India; *Corresponding author

Email

Rakesh Shakya - E-mail: drrakesh2010@gmail.com
Sandeep Sharma - E-mail: drsharmasandeep1981@gmail.com
Kaushlendra Singh Narwariya - E-mail: dr.k.s.narwariya@gmail.com
Krishna Pratap Singh - E-mail: mailtokp82@gmail.com
Parul Nema - E-mail: drparulnema@gmail.com

Article Type

Research Article

Date

Received November 15, 2025; Revised December 15, 2025; Accepted December 15, 2025, Published December 15, 2025

Abstract

The optimal timing for appendectomy in patients with appendicular mass remains debated, with early versus interval appendectomy being two common approaches. Therefore, it is of interest to compare clinical outcomes of early appendectomy and interval appendectomy in 184 patients presenting with appendicular mass. A prospective observational design divided patients equally into early surgery within 24-48 hours and interval surgery after 6-8 weeks of conservative management. Early appendectomy demonstrated shorter operative time and faster postoperative recovery. Hospital stay and return of bowel function were significantly improved in the early appendectomy group, with similar complication rates between groups. Overall, early appendectomy proved to be a safe and efficient option for managing appendicular mass. Early appendectomy for appendicular mass results in shorter operative time, faster postoperative recovery and improve hospital stay and bowel function, proving it to be a safe and efficient option compared to interval appendectomy.

Keywords

Appendicular mass; early appendectomy; interval appendectomy; postoperative outcomes; comparative study

Citation

Shakya et al. Bioinformation 21(12): 5011-5014 (2025)

Edited by

Ritik Kashwani

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.