Why does appendicitis with clumps have to be followed up for 3-6 months?

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Hello doctor! In appendicitis, why is there no indication for emergency surgery when there is a cluster of appendixes, but usually after 3-6 months of follow-up, surgery is performed? I look forward to the doctor's answer? I thank the doctor.
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Hello! When the appendix is ​​inflamed, the surrounding tissues are tightly wrapped to form a clump of the appendix. At that time, if the surgery is to cut the appendix, it is necessary to separate all the surrounding tissues that are tightly wrapped together. If it is not possible to accurately determine the state of the tissues that are acutely inflamed, congested, and pus-filled, it will be easy to bleed and hurt when performing surgery. Moreover, after appendectomy there is a high risk of forming a localized residual pus in the abdomen, because the surrounding tissues are still inflamed and have just undergone surgical intervention. So doctors often let after a few months, when the inflammation is stable, the appendectomy will have less risk of complications.
Thank you for submitting your question to Vinmec Health System. Best regards!
Master, Doctor Vu Van Quan - Gastroenterologist - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital