Materials and Method: Between January 2004 and December 2011, 179 cases who had surgery for adnexal masses were evaluated retrospectively in two groups as 50-64 years of age (non-geriatric) and 65 years and older (geriatric). The cases in two groups were compared for comorbidities, adnexal mass characteristics, intraoperative findings, postoperative morbidity, recovery process and histopathologic results.
Results: Mean age of non-geriatric and geriatric patients were 57.05 years and 72.2 years respectively. In non-geriatric group the number of patients with diabetes (p <0.001), and in geriatric group the number of patients with hypertension (p <0.05) were significantly higher. There was no difference between the groups in preoperative characteristics of adnexal masses, Ca 125 levels, postoperative minor morbidity (p> 0.05); but major morbidity (p=0.03) and duration of hospital stay (p=0.004) were significantly higher in the geriatric group.
Conclusion: Increased postoperative major morbidity and length of hospital stay in patients at geriatric age group brings forward minimally invasive approaches to minimize morbidity and mortality in the geriatric population and may be important in determining risk management in this group.
Keywords : Geriatrics; Intraoperative Complication; Surgical Procedures, Minimally Invasive; Postmenopause; Postoperative Care; Preoperative Care