Análise das apendicectomias realizadas nos hospitais do Sistema Único de Saúde do Brasil em 2017

Abstract

Background: Appendicitis is the most common surgical emergency in the world. The standard treatment for such disease is appendectomy, making this surgery widely performed. In this sense, it is necessary to investigate the outcomes of the operated cases and compare the conventional and videolaparoscopic methods in the Brazilian public health system. Aim: To present the data of appendectomies performed in hospitals affiliated to the Unified Health System (SUS) in 2017 regarding the mortality coefficient distributed by geographic regions and morbidity and mortality rates by sex and age group, in order to compare the techniques used. Method: Descriptive and ecological exploratory study of a quantitative approach using secondary data from DATASUS. Results: In 2017, 106,343 appendectomies were performed in the Unified Health System, representing an incidence of 66 surgeries for each 100,000 SUS users. Of this contingent, 94.96% of appendectomies were by laparotomy and 5.04% by videolaparoscopic approach. The predominant age range for both appendectomies and genders was 15 to 24 years. São Paulo is the state that most performs appendectomies in general, while Rio Grande do Sul performs the most video-assisted surgeries. The length of hospital stay was 3.42 days for both sexes in the laparotomic approach. In the videolaparoscopic route, this period was 3.02 days for females and 3.23 days for males. The mortality rate was three times higher for laparotomic appendectomy. Conclusion: There is a tendency to increase the use of the laparoscopic route in the country, but it is still incipient in relation to the international scenario.