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[Acute appendicitis in pregnancy].

J Horntrich, M Hinkel, G Haring

    Zentralblatt Fur Chirurgie
    |January 1, 1986
    PubMed
    Summary
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    Pregnancy appendicitis incidence is similar to non-pregnant rates. Fetal risk is highest in the third trimester, recommending Cesarean section before appendectomy for viable fetuses.

    Area of Science:

    • Obstetrics and Gynecology
    • Surgical Gastroenterology

    Context:

    • Appendectomy during pregnancy presents unique challenges for both mother and fetus.
    • The study reviewed appendectomies performed on pregnant women between 1977 and 1984.

    Purpose:

    • To analyze the incidence and outcomes of appendectomy in pregnant patients.
    • To evaluate fetal risks associated with appendicitis during pregnancy.
    • To establish optimal surgical management strategies.

    Summary:

    • Appendectomy was performed on 34 pregnant women, representing 1.1% of all appendectomies and 1.8% of deliveries during the study period.
    • Appendicitis incidence in pregnancy is comparable to that in non-pregnant individuals.
    • Fetal jeopardy, particularly from hypoxemic-toxic conditions, is significant, especially in the third trimester.

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    Impact:

    • Cesarean section is advised prior to appendectomy in advanced appendicitis cases with a viable fetus.
    • For non-viable fetuses, appendectomy alone is recommended.
    • This study informs clinical decision-making for managing appendicitis in pregnant patients, aiming to improve maternal and fetal outcomes.