Comparison between Conservative Treatment Andappendectomy for Managing Appendicular Mass in Children

Abstract

Appendectomy is considered the first treatment choice for appendicitis. However, controversy existssince
conservative therapy is associated with fewer complications than appendectomy for patients with
appendicular mass. Twenty onechildren underwent to appendectomy (Group I) , and sixty children on
conservative therapy (Group II)were included in this study . The study was conducted at Al-Zahra Teaching
Hospital in Al-Najaf city, in Iraq , during the period between October 2020 to January 2021 .The results
of the current study show that there is a significant difference in laboratory Investigation (p value = 0.04)
, Fever(p value = 0.001), hospital stay/ days(p value = 0.02) and duration of symptoms(p value = 0.003)
between group I and group II .The study concluded that the appendectomy may result in better outcomes and
less complication than conservative therapy in children with appendicular mass .