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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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Acute Appendicitis in Pregnancy and the Developing World.

Tika Ram Bhandari1, Sudha Shahi2, Sarita Acharya3

  • 1Department of General Surgery, Universal College of Medical Sciences, Bhairahawa 32900, Nepal.

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Appendicitis surgery in pregnant women shows outcomes comparable to nonpregnant individuals. Standard perioperative protocols can be safely applied to both groups, even in resource-limited settings.

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Area of Science:

  • Surgery
  • Obstetrics & Gynecology
  • Gastroenterology

Background:

  • Acute appendicitis is a frequent nonobstetric surgical emergency in pregnancy.
  • Comparing outcomes in pregnant versus nonpregnant patients is crucial for effective management.

Purpose of the Study:

  • To compare perioperative outcomes of acute appendicitis treatment in pregnant and nonpregnant patients.
  • To evaluate the safety and efficacy of appendectomy during pregnancy.

Main Methods:

  • Retrospective review of 56 pregnant and 164 nonpregnant patients who underwent open appendectomy.
  • Analysis of patient demographics and perioperative data, including negative appendectomy rates, perforation, complications, and hospital stay.

Main Results:

  • No significant differences were observed in negative appendectomy rates, perforated appendicitis, postoperative complications, or hospital stay between pregnant and nonpregnant groups.
  • High white blood cell count and delayed surgery were identified as risk factors for appendicular perforation and complications.
  • Pregnancy group experienced 3.6% preterm labor, with no maternal mortality or fetal loss.

Conclusions:

  • Appendectomy outcomes in pregnant patients are comparable to those in nonpregnant patients.
  • Standardized perioperative treatment protocols can be applied to both pregnant and nonpregnant individuals.
  • This approach is viable even in resource-poor settings.