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Analysis of 190 Female Patients after Appendectomy
Abdulrahman M Alotaibi1,2, Leena H Moshref2, Rana H Moshref3
1Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Obstetrics and Gynecology International
|December 7, 2021
Summary
Laparoscopic appendectomy is a safe surgical option for pregnant women with acute appendicitis, showing no increased risk of abortion or preterm labor. This procedure demonstrates low complication rates in pregnant patients.
Area of Science:
- Surgery
- Obstetrics & Gynecology
- Gastroenterology
Background:
- Acute appendicitis occurs in pregnant women, posing diagnostic and management challenges.
- Surgical intervention during pregnancy requires careful consideration of maternal and fetal outcomes.
Purpose of the Study:
- To evaluate the safety and outcomes of laparoscopic appendectomy in pregnant versus non-pregnant women.
- To assess complication rates, including abortion and preterm labor, following appendectomy during pregnancy.
Main Methods:
- Retrospective cohort review of 190 female patients undergoing surgery for acute appendicitis.
- Comparison of outcomes between 8 pregnant and 182 non-pregnant patients.
- Analysis of complication rates, surgical approach, and specific infectious agents.
Main Results:
- No pregnant patients experienced abortion, preterm labor, or mortality.
- Pregnant patients showed higher rates of fecolith, positive peritoneal fluid culture, and wound infection (E. coli in 25%).
- Laparoscopic appendectomy was performed in 75% of pregnant patients, with no statistically significant difference in complicated appendicitis between groups.
Conclusions:
- Laparoscopic appendectomy is a low-risk procedure for pregnant women with acute appendicitis.
- While pregnant patients may have a higher incidence of certain infections, the overall surgical risk is minimal.
- The findings support the use of laparoscopic appendectomy as a safe and effective treatment during pregnancy.
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