Post-Operative Presentation and Evolution of Acute Appendicitis in Patients Over 50 Years

Ana Elisa Pegoraro Ferreira1, Jéssica Mocerino1, Paula Fauci Loures1, Filipe Antonio Peixoto Mourão1 and Leonardo de Mello Del Grande1,2*

1Department of General Surgery, Edmundo Vasconcelos Hospital, São Paulo, Brazil
2Department of Surgery, Federal University of São Paulo, São Paulo, Brazil

^*Correspondance to: Leonardo de Mello Del Grande 

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Abstract:

Acute Appendicitis (AA) is the major cause of emergency abdominal surgery. It mainly affects
young individuals, but its incidence has increased in the elderly. The retardment of the diagnosis
and treatment of AA in the elderly can lead to more associated complications. This study aims to
evaluate the differences in the presentation and postoperative evolution of AA in patients over 50
years old, based on a retrospective observational clinical study with data collected from the medical
records of patients over 18 years old who underwent emergency appendectomy between the years
of 2014 and 2015. Significant statistical differences were identified between the groups in terms of
age, presence of comorbidities, severity of appendicitis, need for a postoperative drain and length
of hospital stay. It is concluded that the patient with AA above 50 years old presents a more severe
condition.

Keywords:

Appendicitis; Elderly; Appendectomy; Appendicitis complications

Cite the Article:

Ferreira AEP, Mocerino J, Loures PF, Mourão FAP, de Mello Del Grande L. Post-Operative Presentation and
Evolution of Acute Appendicitis in Patients Over 50 Years. World J Surg Surgical Res. 2021; 4: 1314..