Apendicectomía en la embarazada: Experiencia en un hospital público chileno
Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. Results: Among 47,322 deliveries, 46 pregnant women aged 29±9 years and with a gestational age of 21±7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69±45 and 50±34 hours respectively, NS) and a similar white cell count (15,667±3,707 and 13,006±5,206 cells/mm³, respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. Conclusions: Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reported
Main Authors: | Butte B,Jean Michel, Bellolio A,M Fernanda, Fernández L,Francisca, Sanhueza G,Marcel, Báez V,Sergio, Kusanovich B,Rodrigo, Viñuela F,Eduardo, González P,Rogelio, Pruyas A,Martha, Díaz A,Verónica, Martínez C,Jorge |
---|---|
Format: | Digital revista |
Language: | Spanish / Castilian |
Published: |
Sociedad Médica de Santiago
2006
|
Online Access: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000200002 |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Similar Items
-
Apendicectomía laparoscópica vs apendicectomía abierta en apendicitis aguda. Experiencia del Hospital Regional de Coyhaique
by: Vallejos O,Claudio
Published: (2006) -
Colecistectomía laparoscópica ambulatoria: Una experiencia factible en un hospital público chileno
by: Pattillo S,Juan Carlos, et al.
Published: (2004) -
Fiebre tras apendicectomía
by: Belhassen García,M., et al.
Published: (2008) -
Apéndice, apendicitis, apendicectomía
by: Salazar Vargas,Carlos
Published: (2003) -
Apendicectomia laparoscópica na gestante
by: Figueiredo,Fernando Antônio Santos, et al.
Published: (2002)