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Yıl 2023, Cilt: 9 Sayı: 2, 384 - 390, 04.03.2023

İsmail Hasırcı Mehmet Eşref Ulutaş

https://doi.org/10.18621/eurj.1244855

Öz

Kaynakça

  • 1. Barnes SL, Shane MD, Schoemann MB, Bernard AC, Boulanger BR. Laparoscopic appendectomy after 30 weeks pregnancy: report of two cases and description of technique. Am Surg 2004;70:733-6.
  • 2. Hee PP, Viktrup L. The diagnosis of appendicitis during pregnancy and maternal and fetal outcome after appendectomy. Int J Gynecol Obstet 1999;65:129-35.
  • 3. Andersson REB, Roland EB, Lambe M. Incidence of appendicitis during pregnancy. Int J Epidemiol 2001;30:1281-5.
  • 4. Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G. Pregnancy outcome following non-obstetric surgical intervention.  Am J Surg 2005;190:467-73.
  • 5. Corneille MG, Gallup TM, Bening T, Wolf SE, Brougher C, Myers JG, et al. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg 2010;200: 363-7.
  • 6. Lemieux P, Rheaume P, Levesque I, Bujold E, Brochu G. Lemieux, Patrice, et al. Laparoscopic appendectomy in pregnant patients: a review of 45 cases. Surg Endosc 2009;23:1701-5.
  • 7. McGory ML, Zingmond DS, Tillou A, Hiatt JR, Ko CY, Cryer HM. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007;205:534-40.
  • 8. Pedrosa I, Levine D, Eyvazzadeh AD, Siewert B, Ngo L, Rofsky NM. MR imaging evaluation of acute appendicitis in pregnancy. Radiology 2006;238:891-9.
  • 9. Jackson H, Granger S, Price R, Rollins M, Earle D, Richardson W, et al. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc 2008;22:1917-27.
  • 10. Cheng HT, Wang YC, Lo HC, Su LT, Soh KS, Tzeng CW, et al. Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome. Surg Endosc 2015;29:1394-9.
  • 11. Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008;6:339-44.
  • 12. Palanivelu C, Rangarajan M, Parthasarathi R. Laparoscopic appendectomy in pregnancy: a case series of seven patients. JSLS 2006;10:321.
  • 13. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech A 2003;13:11-5.
  • 14. Lyass S, Pikarsky A, Eisenberg VH, Elchalal U, Schenker JG, Reissman P. Is laparoscopic appendectomy safe in pregnant women? Surg Endosc 2001;15:377-9.
  • 15. Wu JM, Chen KH, Lin HF, Tseng LM, Tseng SH, Huang SH. Laparoscopic appendectomy in pregnancy. J Laparoendosc Adv Surg Tech A 2005;15: 447-50.
  • 16. Kirshtein B, Perry ZH, Avinoach E, Mizrahi S, Lantsberg L. Safety of laparoscopic appendectomy during pregnancy. World J Surg 2009;33:475-80.
  • 17. Sadot E, Telem DA, Arora M, Butala P, Nguyen SQ, Divino CM. Laparoscopy: a safe approach to appendicitis during pregnancy. Surg Endosc 2010;24:383-9.
  • 18. Fatum M, Rojansky N. Laparoscopic surgery during pregnancy. Obstet Gynecol Survey 2001;56:50-9.
  • 19. Humes DJ, Simpson J. Acute appendicitis. BMJ 2006;333:530-4.
  • 20. Yilmaz M, Akbulut S, Kutluturk K, Sahin N, Arabaci E, Ara C, et al. Unusual histopathological findings in appendectomy specimens from patients with suspected acute appendicitis. World J Gastroenterol 2013;19:4015-22.

Complicated and uncomplicated acute appendicitis in pregnancy: a single center experience

Yıl 2023, Cilt: 9 Sayı: 2, 384 - 390, 04.03.2023

İsmail Hasırcı Mehmet Eşref Ulutaş

https://doi.org/10.18621/eurj.1244855

Öz

Objectives: Acute appendicitis is the most common non-obstetric pathology requiring emergency surgery on pregnant women. The aim of the study is to show the effect of uncomplicated and complicated acute appendicitis on pregnancy.


Methods: This study was conducted retrospectively at the Department of General Surgery of Konya City Hospital. Pregnant patients who underwent surgery for acute appendicitis from January 1, 2020, through December 31, 2021, were included in the study. The cases were divided into two groups as complicated and uncomplicated appendicitis and compared. The demographic, clinical, and laboratory findings of the patients were obtained by screening the patient files. The cases were divided into two groups as complicated and uncomplicated appendicitis and compared.

Results: The study included 46 pregnant patients with a mean age of 25.9 years. The mean gestational age of the patients at the time of surgery was 16.5 weeks. Of the patients, 47.8% were in the first trimester. Open appendectomy was performed in 35 (76.1%) patients, and laparoscopic appendectomy in eight (17.4%). Seven (15.2%) appendicitis cases were complicated. A negative appendectomy was performed in two (4.3%) patients. Preterm labor was seen at a rate of 28.6% in the complicated appendicitis group and 5.1% in the uncomplicated appendicitis group (p = 0.04), and the mean operative times were 65.8 and 46.1 minutes, respectively (p < 0.001).

Conclusions: Both postoperative complications due to surgery and obstetric complications increase in patients with complicated appendicitis; therefore, it is particularly important to closely follow up these cases.

Anahtar Kelimeler

Appendicitis complication laparoscopy pregnancy preterm labor

Kaynakça

  • 1. Barnes SL, Shane MD, Schoemann MB, Bernard AC, Boulanger BR. Laparoscopic appendectomy after 30 weeks pregnancy: report of two cases and description of technique. Am Surg 2004;70:733-6.
  • 2. Hee PP, Viktrup L. The diagnosis of appendicitis during pregnancy and maternal and fetal outcome after appendectomy. Int J Gynecol Obstet 1999;65:129-35.
  • 3. Andersson REB, Roland EB, Lambe M. Incidence of appendicitis during pregnancy. Int J Epidemiol 2001;30:1281-5.
  • 4. Cohen-Kerem R, Railton C, Oren D, Lishner M, Koren G. Pregnancy outcome following non-obstetric surgical intervention.  Am J Surg 2005;190:467-73.
  • 5. Corneille MG, Gallup TM, Bening T, Wolf SE, Brougher C, Myers JG, et al. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg 2010;200: 363-7.
  • 6. Lemieux P, Rheaume P, Levesque I, Bujold E, Brochu G. Lemieux, Patrice, et al. Laparoscopic appendectomy in pregnant patients: a review of 45 cases. Surg Endosc 2009;23:1701-5.
  • 7. McGory ML, Zingmond DS, Tillou A, Hiatt JR, Ko CY, Cryer HM. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007;205:534-40.
  • 8. Pedrosa I, Levine D, Eyvazzadeh AD, Siewert B, Ngo L, Rofsky NM. MR imaging evaluation of acute appendicitis in pregnancy. Radiology 2006;238:891-9.
  • 9. Jackson H, Granger S, Price R, Rollins M, Earle D, Richardson W, et al. Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc 2008;22:1917-27.
  • 10. Cheng HT, Wang YC, Lo HC, Su LT, Soh KS, Tzeng CW, et al. Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome. Surg Endosc 2015;29:1394-9.
  • 11. Walsh CA, Tang T, Walsh SR. Laparoscopic versus open appendicectomy in pregnancy: a systematic review. Int J Surg 2008;6:339-44.
  • 12. Palanivelu C, Rangarajan M, Parthasarathi R. Laparoscopic appendectomy in pregnancy: a case series of seven patients. JSLS 2006;10:321.
  • 13. Rizzo AG. Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech A 2003;13:11-5.
  • 14. Lyass S, Pikarsky A, Eisenberg VH, Elchalal U, Schenker JG, Reissman P. Is laparoscopic appendectomy safe in pregnant women? Surg Endosc 2001;15:377-9.
  • 15. Wu JM, Chen KH, Lin HF, Tseng LM, Tseng SH, Huang SH. Laparoscopic appendectomy in pregnancy. J Laparoendosc Adv Surg Tech A 2005;15: 447-50.
  • 16. Kirshtein B, Perry ZH, Avinoach E, Mizrahi S, Lantsberg L. Safety of laparoscopic appendectomy during pregnancy. World J Surg 2009;33:475-80.
  • 17. Sadot E, Telem DA, Arora M, Butala P, Nguyen SQ, Divino CM. Laparoscopy: a safe approach to appendicitis during pregnancy. Surg Endosc 2010;24:383-9.
  • 18. Fatum M, Rojansky N. Laparoscopic surgery during pregnancy. Obstet Gynecol Survey 2001;56:50-9.
  • 19. Humes DJ, Simpson J. Acute appendicitis. BMJ 2006;333:530-4.
  • 20. Yilmaz M, Akbulut S, Kutluturk K, Sahin N, Arabaci E, Ara C, et al. Unusual histopathological findings in appendectomy specimens from patients with suspected acute appendicitis. World J Gastroenterol 2013;19:4015-22.
Toplam 20 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Cerrahi
Bölüm Original Article
Yazarlar

İsmail Hasırcı 0000-0001-8400-3361

Mehmet Eşref Ulutaş 0000-0002-9206-4348

Yayımlanma Tarihi 4 Mart 2023
Gönderilme Tarihi 30 Ocak 2023
Kabul Tarihi 18 Şubat 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 9 Sayı: 2

Kaynak Göster

AMA Hasırcı İ, Ulutaş ME. Complicated and uncomplicated acute appendicitis in pregnancy: a single center experience. Eur Res J. Mart 2023;9(2):384-390. doi:10.18621/eurj.1244855
 Kapak Resmi İndir

e-ISSN: 2149-3189 


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