Apendicectomía en la embarazada. Experiencia en un hospital público chileno

Translated title of the contribution: Appendectomies for suspected acute appendicitis during pregnancy. Experience at a Chilean public hospital

B. Jean Michel Butte, M. A. Fernanda Bellolio, L. Francisca Fernández, G. Marcel Sanhueza, V. Sergio Bàez, B. Rodrigo Kusanovich, F. Eduardo Viñuela, P. Rogelio González, A. Martha Pruyas, A. Verónica Díaz, C. Jorge Martínez

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

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 pregtiant 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 histopa thologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative kparotomyand 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 mast common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregtiancy 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.

Original languageSpanish
Pages (from-to)145-151
Number of pages7
JournalRevista medica de Chile
Volume134
Issue number2
StatePublished - Feb 1 2006

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Keywords

  • Appendectomy
  • Appendicitis
  • Laparotomy
  • Pregnancy outcome

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Jean Michel Butte, B., Fernanda Bellolio, M. A., Francisca Fernández, L., Marcel Sanhueza, G., Sergio Bàez, V., Rodrigo Kusanovich, B., Eduardo Viñuela, F., Rogelio González, P., Martha Pruyas, A., Verónica Díaz, A., & Jorge Martínez, C. (2006). Apendicectomía en la embarazada. Experiencia en un hospital público chileno. Revista medica de Chile, 134(2), 145-151.