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Appendectomy at the time of cesarean section
Susan F Kraus1, Robert D Abell, Arthur H Schipul
1Saint Anthony Hospital, 608 NW 9th St., Suite 1000 OKC, OK 73102, USA.
The Journal of the Oklahoma State Medical Association
|October 3, 2003
Summary
Routine examination of the appendix during cesarean sections may benefit pregnant patients. Removing abnormal appendices during cesarean delivery is safe and can prevent complications from appendicitis in pregnancy.
Area of Science:
- Obstetrics and Gynecology
- Surgical Pathology
Background:
- Appendicitis in pregnancy occurs in approximately 1 in 1500 deliveries.
- Diagnosis of appendicitis during pregnancy is challenging and carries risks of complications.
Purpose of the Study:
- To evaluate the potential benefits and safety of examining and removing the appendix during cesarean sections.
- To reduce the incidence and complications of appendicitis in pregnant individuals.
Main Methods:
- Review of medical literature on appendicitis in pregnancy and appendectomy during cesarean section.
- Analysis of physician observations and hospital records regarding incidental appendectomy.
Main Results:
- Appendicitis diagnosis in pregnancy presents diagnostic difficulties and potential complications.
- Performing incidental appendectomy during cesarean section has been confirmed as safe.
- Routine visualization and palpation of the appendix during cesarean section is proposed.
Conclusions:
- Routine visualization and palpation of the appendix during cesarean sections are recommended.
- Removal of inflamed or diseased appendices during cesarean delivery is advised.
- This approach may mitigate risks associated with appendicitis in pregnancy.