Apendicectomía en la embarazada: Experiencia en un hospital público chileno / Appendectomies for suspected acute appendicitis during pregnancy: Experience at a Chilean public hospital
Rev. méd. Chile
;
134(2): 145-151, feb. 2006. ilus, tab, graf
Artículo
en Español
| LILACS
| ID: lil-425961
ABSTRACT
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 andmethods:
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.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Apendicectomía
/
Apendicitis
/
Complicaciones del Embarazo
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Factores de riesgo
Límite:
Adulto
/
Femenino
/
Humanos
/
Embarazo
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2006
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Doctor Sótero del Río/CL
/
Hospital Doctor Sótero del Río. Servicios de Cirugía/CL
/
Pontificia Universidad Católica de Chile/CL
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