Evaluation of factors influencing postoperative complications in patients with acute appendicitis

   Purpose of a study: to evaluate factors influencing postoperative complications in patients with acute appendicitis.

   Material and methods. A retrospective study of patients treated for acute appendicitis at Novokuznetsk City Clinical Hospital No. 1 and Novokuznetsk City Clinical Hospital No. 29, was conducted from 2017 to 2020.

   Results. From 2017 to 2020, 1410 patients underwent surgery at the Novosibirsk City Clinical Hospital No. 1 and Novosibirsk City Clinical Hospital No. 29, including 782 men (55.5 %) and 628 women (44.5 %). The minimum age of men was 18 years, the maximum was 92 years old, with an average age of (37.7 ± 15.0) years. The age of women ranged from 19 to 94 years old, with an average age of (41.4 ± 16.3) years. The main type of surgery was laparoscopic appendectomy – 1240 (87.9 %) cases, 114 (8.1 %) patients were operated on using the Volkovich–Diyakonov approach, 28 (2.0 %) – underwent laparotomy, 22 (1.6 %) had appendectomy and a periappendiceal abscess was opened, in 4 cases (0.3 %) the surgery ended with laparostomy, in one case (0.05 %) diagnostic laparoscopy was performed without appendectomy, and in another (0.05 %) – laparotomy without appendectomy. The average duration of surgery for traditional appendectomy was (50.2 ± 27.2) minutes, while for laparoscopic appendectomy it was (40.5 ± 15.2) minutes. In 90 (6.4 %) patients, the postoperative period was complicated by surgical site infection. The average time of hospital stay was (6.9 ± 3.2) days.

   Conclusion. An analysis of acute appendicitis treatment in adult patients in Novokuznetsk revealed that laparoscopic surgery is the primary surgical treatment for acute appendicitis and its complicated forms. The duration of the illness, the severity of the condition upon admission, the duration and type of surgery, and the histological type of appendicitis all influence the incidence of postoperative complications.

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