Prevalence of Acute Appendicitis Complications in Overweight and Obese Patients: A Cross-Sectional Case Series Study


  • Bawan Muhamad Jazaa Ahmed Kurdistan Board for Medical Specialties, Ministry of Health, Sulaimani, Kurdistan Region, Iraq. Author
  • Hiwa Omer Ahmed Department of Surgery, College of Medicine, University of Sulaimani, Kurdistan Region, Iraq. Author



Appendicitis, Early complications, Excess weight, Hospitalization, Prospective cross-sectional study


Background: Obesity is known to increase morbidity and mortality in the general population and therefore is perceived as a risk factor for adverse post-surgical results.

Aims: To find the real impact of extra weight on the course of the early postoperative complications of open appendectomy.

Methods: A prospective cross-sectional case series study was conducted on 93 patients from a total 100 patients labeled with an acute abdomen with signs and symptoms of acute appendicitis. Early postoperative complications are classified according to the Clavien-Dindo-Classification (CDC) system.

Results: Seventy-one (76.34%) patients went through a smooth postoperative period without complications, of which the majority belong to group A with normal body weight (n=39, 54.9%). The most common early complications were superficial surgical site infection (n=14, 15.05), deep surgical site infection (n=6, 6.45%) equally in both groups A, and B that required hospital admission and antibiotic therapy and 2 male patients (2.15%) in the group A; average weight group developed deep surgical site infection both of their intraoperative findings were perforated appendicitis.

Conclusions: There is a significant relationship between the duration of hospital stay and the patient's weight (P-value=0.00541). Albeit, the results showed that patients with excess weight need to stay longer in the hospital compared to average-weight patients.


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How to Cite

Prevalence of Acute Appendicitis Complications in Overweight and Obese Patients: A Cross-Sectional Case Series Study. (2022). Journal of Zankoy Sulaimani - Part A, 24(2), 71-79.