Turan Yıldız1, Zehra Bozdağ2, Unal Erkorkmaz3, Arif Emre4, Taner Turgut5, Zekeriya Ilçe6. 1. Department of Pediatric Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey. tyildiz44@hotmail.com. 2. Department of Pathology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey. 3. Department of Biostatics, Sakarya University Faculty of Medicine, Sakarya, Turkey. 4. Department of General Surgery, Gebze Fatih State Hospital, Kocaeli, Turkey. 5. Department of General Surgery, Derince Training and Reseach Hospital, Kocaeli, Turkey. 6. Department of Pediatric Surgery, Sakarya University Faculty of Medicine, Sakarya, Turkey.
Abstract
BACKGROUND: Appendicitis is the most common form of abdominal pain requiring surgery among children. This study evaluates the association of age, sex, seasonal, and familial factors with the histopathology of appendectomies. METHODS: 588 patients who underwent operations for acute appendicitis between 2009 and 2011 were included in this study. The patients were classified in one of three groups based on histopathological results: acute, perforated, and negative appendectomy. This study evaluates the association between age, sex, seasonal, and familial factors and the histopathological classification. RESULTS: The mean age of the patients was 11.8±3.26 years (range 1 to 16 years). Among these patients, appendicitis was 2.41 times more common in children greater than 10 years old. Appendicitis occurred 4.63 times more often among males than in females. Negative appendectomy occurred more often in children greater than 10 years of age. Appendicitis was associated with both seasonal factors and family history; however this association did not meet the threshold for statistical significance (p>0.05). DISCUSSION: The age and sex of the patient should be taken into account when considering appendicitis surgery to improve the accuracy of the diagnosis. In addition, the histopathology of appendicitis is influenced by familial and environmental factors.
BACKGROUND:Appendicitis is the most common form of abdominal pain requiring surgery among children. This study evaluates the association of age, sex, seasonal, and familial factors with the histopathology of appendectomies. METHODS: 588 patients who underwent operations for acute appendicitis between 2009 and 2011 were included in this study. The patients were classified in one of three groups based on histopathological results: acute, perforated, and negative appendectomy. This study evaluates the association between age, sex, seasonal, and familial factors and the histopathological classification. RESULTS: The mean age of the patients was 11.8±3.26 years (range 1 to 16 years). Among these patients, appendicitis was 2.41 times more common in children greater than 10 years old. Appendicitis occurred 4.63 times more often among males than in females. Negative appendectomy occurred more often in children greater than 10 years of age. Appendicitis was associated with both seasonal factors and family history; however this association did not meet the threshold for statistical significance (p>0.05). DISCUSSION: The age and sex of the patient should be taken into account when considering appendicitis surgery to improve the accuracy of the diagnosis. In addition, the histopathology of appendicitis is influenced by familial and environmental factors.