Apendicectomía en la embarazada: Experiencia en un hospital público chileno

Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendect...

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Autores principales:	Butte B,Jean Michel, Bellolio A,M Fernanda, Fernández L,Francisca, Sanhueza G,Marcel, Báez V,Sergio, Kusanovich B,Rodrigo, Viñuela F,Eduardo, González P,Rogelio, Pruyas A,Martha, Díaz A,Verónica, Martínez C,Jorge
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2006
Materias:	Appendectomy Appendicitis Laparotomy Pregnancy outcome
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000200002
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spelling	oai:scielo:S0034-988720060002000022006-03-17Apendicectomía en la embarazada: Experiencia en un hospital público chilenoButte B,Jean MichelBellolio A,M FernandaFernández L,FranciscaSanhueza G,MarcelBáez V,SergioKusanovich B,RodrigoViñuela F,EduardoGonzález P,RogelioPruyas A,MarthaDíaz A,VerónicaMartínez C,Jorge Appendectomy Appendicitis Laparotomy Pregnancy outcome Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. Results: Among 47,322 deliveries, 46 pregnant women aged 29±9 years and with a gestational age of 21±7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69±45 and 50±34 hours respectively, NS) and a similar white cell count (15,667±3,707 and 13,006±5,206 cells/mm³, respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. Conclusions: Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reportedinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.134 n.2 20062006-02-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000200002es10.4067/S0034-98872006000200002
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Appendectomy Appendicitis Laparotomy Pregnancy outcome
spellingShingle	Appendectomy Appendicitis Laparotomy Pregnancy outcome Butte B,Jean Michel Bellolio A,M Fernanda Fernández L,Francisca Sanhueza G,Marcel Báez V,Sergio Kusanovich B,Rodrigo Viñuela F,Eduardo González P,Rogelio Pruyas A,Martha Díaz A,Verónica Martínez C,Jorge Apendicectomía en la embarazada: Experiencia en un hospital público chileno
description	Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. Results: Among 47,322 deliveries, 46 pregnant women aged 29±9 years and with a gestational age of 21±7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69±45 and 50±34 hours respectively, NS) and a similar white cell count (15,667±3,707 and 13,006±5,206 cells/mm³, respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. Conclusions: Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reported
author	Butte B,Jean Michel Bellolio A,M Fernanda Fernández L,Francisca Sanhueza G,Marcel Báez V,Sergio Kusanovich B,Rodrigo Viñuela F,Eduardo González P,Rogelio Pruyas A,Martha Díaz A,Verónica Martínez C,Jorge
author_facet	Butte B,Jean Michel Bellolio A,M Fernanda Fernández L,Francisca Sanhueza G,Marcel Báez V,Sergio Kusanovich B,Rodrigo Viñuela F,Eduardo González P,Rogelio Pruyas A,Martha Díaz A,Verónica Martínez C,Jorge
author_sort	Butte B,Jean Michel
title	Apendicectomía en la embarazada: Experiencia en un hospital público chileno
title_short	Apendicectomía en la embarazada: Experiencia en un hospital público chileno
title_full	Apendicectomía en la embarazada: Experiencia en un hospital público chileno
title_fullStr	Apendicectomía en la embarazada: Experiencia en un hospital público chileno
title_full_unstemmed	Apendicectomía en la embarazada: Experiencia en un hospital público chileno
title_sort	apendicectomía en la embarazada: experiencia en un hospital público chileno
publisher	Sociedad Médica de Santiago
publishDate	2006
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872006000200002
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Apendicectomía en la embarazada: Experiencia en un hospital público chileno

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