ISSN: 2149-2247 | E-ISSN: 2149-2549
Seasonal Pattern of Acute Appendicitis in Central Anatolia [Erciyes Med J]
Erciyes Med J. 2020; 42(2): 207-212 | DOI: 10.14744/etd.2020.81226

Seasonal Pattern of Acute Appendicitis in Central Anatolia

Mustafa Gök1, Uğur Topal1, Bahadır Öz1, Muhammet Akyüz1, Fatih Dal1, Doğan Gürkan Islam1, Kemal Deniz2, Erdoğan Mütevelli Sözüer1
1Department of General Surgery, Erciyes University Faculty of Medicine, Kayseri, Turkey
2Department of Pathology, Erciyes University Faculty of Medicine, Kayseri, Turkey

Objective: The most common cause of acute abdomen requiring surgical intervention globally is acute appendicitis (AA). In this study, we aimed to investigate how AA diagnosis is affected by seasonal changes in Central Anatolia.
Materials and Methods: In this study, patients who underwent appendectomy with the diagnosis of (AA) between January 1, 2015 and January 1,2019 were evaluated retrospectively. We divided the patients into three groups based on their histopathological results: Group 1 Acute Appendicitis (AA), Group 2 Appendix vermiformis (AV) and Group 3 Perforated appendicitis (PA). Patients were evaluated concerning age, sex and season of operation.
Results: Seven hundred ninety-five patients participated in our study. They were separated into the following groups: Group 1 (n=614), Group 2 (n=125), and Group 3 (n=56). Concerning the sex variable, no statistically significant differences were found between the groups (p=0.061). The mean age of the patients in the perforated appendicitis group was higher when compared to the other groups (p=0.001). When evaluated by season, it was seen that during winter, the patients in Group 1 were significantly higher than the patients in the other groups (p=0.009). In our study, acute appendicitis was most frequently diagnosed during winter (28.7%); appendix vermiformis was most frequently diagnosed during spring (32%) and perforated appendicitis was most frequently diagnosed during summer (41%).
Conclusion: Although the diagnosis of acute appendicitis varies seasonally, age and seasonal changes may be effective in the frequency of acute appendicitis. In Central Anatolia, the incidence of acute appendicitis increased during winter, while the rate of perforated appendicitis increased in summer and the rate of negative appendectomy increased in spring.

Keywords: Appendicitis, sex, seasonal distribution, age.

Mustafa Gök, Uğur Topal, Bahadır Öz, Muhammet Akyüz, Fatih Dal, Doğan Gürkan Islam, Kemal Deniz, Erdoğan Mütevelli Sözüer. Seasonal Pattern of Acute Appendicitis in Central Anatolia. Erciyes Med J. 2020; 42(2): 207-212

Corresponding Author: Uğur Topal, Türkiye
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