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A Novel Use of Three-dimensional High-frequency Ultrasonography for Early Pregnancy Characterization in the Mouse

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[Acute appendicitis during pregnancy].

A V Sazhin¹, A I Kirienko¹, M A Kurtser²

¹Pirogov Russian National Research Medical University of Healthcare Ministry of Russia, Moscow, Russia.

|February 22, 2019

Summary

Diagnosing acute appendicitis during pregnancy is challenging due to misleading symptoms. This article reviews diagnostic methods and surgical treatments, including laparoscopic surgery, to minimize risks like fetal loss.

Keywords:

appendicitis in pregnancy laparoscopic appendectomy laparoscopy in pregnancy

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Area of Science:

Obstetrics and Gynecology
Surgical Gastroenterology

Background:

Acute appendicitis is the most common surgical emergency in pregnancy.
Diagnosis is complicated by atypical presentations and anatomical changes during gestation.

Purpose of the Study:

To review diagnostic modalities for acute appendicitis in pregnant patients.
To evaluate the safety and outcomes of surgical interventions, including laparoscopic approaches.
To identify risk factors for pregnancy loss associated with appendicitis management.

Main Methods:

Literature review of diagnostic techniques (e.g., imaging).
Comparative analysis of open versus laparoscopic appendectomy in pregnancy.
Risk factor analysis for fetal and maternal outcomes.

Main Results:

Diagnostic accuracy varies among methods, posing challenges.
Laparoscopic appendectomy carries a risk of fetal loss, though benefits exist.
Surgical tactics and timing influence outcomes.

Conclusions:

Accurate diagnosis and appropriate surgical management are critical for pregnant patients with appendicitis.
Balancing maternal health and fetal well-being requires careful consideration of surgical options.
Further research is needed to optimize safety and minimize complications.