Open AccessACUTE APPENDICITIS DURING PREGNANCY: NO PLACE FOR MAYBE
Author(s) -
I. Negoiu,
Sorin Păun,
Sorin Hostiuc,
Amira Moldoveanu,
Mircea Beuran
Publication year - 2015
Publication title -
journal of surgical sciences
Language(s) - English
Resource type - Journals
eISSN - 2457-5364
pISSN - 2360-3038
DOI - 10.33695/jss.v2i4.129
Subject(s) - medicine , acute appendicitis , appendicitis , pregnancy , acute abdominal pain , abdominal pain , obstetrics , general surgery , surgery , genetics , biology
Acute appendicitis is the most common abdominal non-obstetrical emergency in pregnant women;its management however is supported by a low level of evidence. The main objective of this studywas to evaluate the clinical management of pregnant women with acute appendicitis.We havereviewed the hospital database selecting the pregnant women with acute appendicitis managed inthe last 24 months. 8 appendectomies were performed in pregnant women. Mean age was 27.2±6.1years. All patients had a history of right lower abdominal pain of 36 hours or less. Generalanesthesia was used in 12.5% of cases and spinal anesthesia in the remaining of cases. In all casesappendectomy was performed through a McBurney’s incision with a mean operating time of 36.25minutes. There was no maternal or fetal mortality.The diagnosis of acute appendicitis ischallenging in pregnant women. A prompt, but a non-negative appendectomy should always beaimed, and no unecessary risks should be taken.