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The Impact of Obesity on Perioperative Outcomes for Children Undergoing Appendectomy for Acute Appendicitis: A

Nikolaos Zavras1, Natalia Vaou2, Sofia Zouganeli2

  • 1Department of Pediatric Surgery, Medical School, National and Kapodistrian University of Athens, Attikon University General Hospital, 12462 Athens, Greece.

Journal of Clinical Medicine
|July 29, 2023
PubMed

Insights

Obesity in children undergoing appendectomy for acute appendicitis has unclear impacts on outcomes. While some studies show prolonged operative time, length of stay, and surgical site infections, overall complications remain similar between obese and normal-weight children.

Area of Science:

  • Pediatric Surgery
  • Obesity Research
  • Surgical Outcomes

Background:

  • Pediatric obesity rates are rising significantly.
  • Acute appendicitis is the most common surgical emergency in children.
  • Understanding obesity's impact on appendectomy outcomes is crucial.

Purpose of the Study:

  • To investigate how obesity affects postoperative outcomes in pediatric appendectomy.
  • To analyze operative time, length of stay, surgical site infections, and overall complications.
  • To compare outcomes between normal weight, overweight, and obese children.

Main Methods:

  • Extensive literature search in PubMed and Google Scholar.
  • Evaluation of studies comparing normal weight (NW), overweight (OW), and obese (OB) pediatric patients.
  • Analysis of perioperative outcomes, complications, readmissions, and emergency department visits.

Main Results:

  • No consistent statistically significant differences in most perioperative outcomes or overall complications were found between OW/OB and NW children.
  • Some studies indicated prolonged operative time, length of stay, and increased surgical site infections in OW/OB groups.
  • No differences were observed in readmissions or emergency department visits.

Conclusions:

  • The impact of childhood obesity on appendectomy outcomes is currently unclear.
  • Insufficient high-quality data prevents definitive conclusions.
  • Further research is needed to optimize surgical approaches and prevent complications in obese pediatric patients.

Keywords:
acute appendicitisappendectomychildrenobesityperioperative outcomespostoperative complications

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