Can Patients with Appendicitis in Pregnancy be Operated in Secondary Hospital: A retrospective Study

Year 2018, , 28 - 31, 28.06.2018

Adnan Budak Abdullah Şenlikçi Ramazan Güven

https://doi.org/10.17678/beuscitech.393202

Abstract

Appendicitis is the most common non-obstetric
cause of acute abdomen in pregnancy. Diagnosis of appendicitis becomes difficult with the
change of appendiceal position during pregnancy. Late diagnosis and treatment
increase the likelihood of developing perforation. In this study, we aimed to evaluate perioperative outcomes of
appendicitis in pregnant patients in secondary hospitals in the light of the
literature. 29 pregnant
women who performed appendectomy between April 2012 and July 2017 were included
in the study. Patients were evaluated according to age, gestational age, white
blood cell count, percentage of neutrophil count, C-reactive protein level,
ultrasonographic findings, pathologic results, duration of hospitalization and
complications. Out of the 29 pregnant patients, 9 (31.0%) patients had surgery during the first trimester, 13
(44.8%) during the second trimester and 7 (24.2%) during the third trimester. Median
white blood cell count was 12870 K/mm³ (min-max;7170-25210).
Negative laparotomy rate was %31.0. Median duration of hospitalization was 3.24
days (2-7). Morbidity was observed in 2 (6.9%) of 29 patients. Intra-abdominal
abscess was observed in one patient and colonic fistula was observed in one
patient. Our results demonstrated that
appendectomy and follow-up of pregnant patients with acute appendicitis can be performed at secondary
hospitals.

Keywords

Acute appendicitis; Appendectomy; Fetus; Pregnancy

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