>Year 2011, Issue 4
Flores-Ramírez S, Flores-Morales JL, Fuentes-Rivas A
Appendicitis during pregnancy. Experience at the Hospital General Toluca Dr. Nicolás San Juan
Cir Gen 2011; 33 (4)
PDF: 4. Kb.
Objective: To present our experience in the treatment of patients with acute appendicitis during pregnancy.
Setting: General Hospital Toluca Dr. Nicolás San Juan. Instituto de Salud del Estado de México. Second Level Health Care Hospital.
Design: Observational, retrospective, descriptive, transversal.
Statistical analysis. Percentages as summary measures for qualitative variables.
Patients and methods. Pregnant patients with a diagnosis of acute appendicitis, subjected to appendicectomy in a 3-year period (2007-20010). Analyzed variables were: maternal age, gestational age, clinical data, time of evolution, type of surgical approach, complications, maternal and fetal mortalities.
Results: Twenty four pregnant women were subjected to appendicectomy. Incidence was of 1 per 608 pregnancies. Average age was of 24 years, fifty-four percent of cases occurred during the first trimester of pregnancy. Complications were encountered in 37.5% of the patients, and the most frequent complication was infection of the surgical wound, followed by early loss of pregnancy.
Conclusions: Appendicitis is more frequent during the first trimester of pregnancy. The most frequent complication is infection of the surgical wound, and 66% of the pregnant patients with appendicitis were within the age group of 16 to 25 years.
||Appendicitis, pregnancy, acute abdomen.
Soto-Bigot G, Soto-Bigot MA. Apendicitis aguda y embarazo (Revisión Bibliográfica). Revista Médica de Costa Rica y Centroamérica 2008; 586: 361-364.
Pastore PA, Loomis DM, Sauret J. Appendicitis in Pregnancy. J Am Board Fam Med 2006; 19: 621-626.
Andersson RE, Lambe M. Incidence of appendicitis during pregnancy. Int J Epidemiol 2001; 30: 1281-1285.
Basurto-Kuba EOP, Martínez- Gudiño O, Olmos-Ramírez G, Buitrón García-Figueroa R. Apendicitis y embarazo. Experiencia en el Hospital Ángeles México. Cirujano General 2006; 28: 230-233.
Morales-González RA, Vargas-La OF, Rosabal-Infante F, Cendán-Rosa M. Apendicitis aguda durante el embarazo. Rev Cubana Obstet Ginecol 2002; 28: 29-33.
Raja KS, Janjua NB, Iqbal J. Appendicitis in pregnancy. RMJ 2003; 28: 52-55.
Zhang Y, Zhao Y-Y, Qiao J, Ye R-H. Diagnosis of appendicitis during pregnancy and perinatal outcome in the late pregnancy. Chinese Medical Journal 2009; 122: 521-524.
Gómez-Montes E, Blanco-Guerrero M, Izquierdo-Rodríguez A, Manosalvas-Martínez P, Puente-Águeda JM, Aznárez-Alonso ML y cols. Apendicitis y gestación. Prog Obstet Ginecol 2009; 52: 160-165.
Álvarez Y, Rodríguez-Núñez J, Álvarez D, Tejeda J, Rodríguez-Núñez M, Santos S. Frecuencia de apendicitis y embarazo en el Hospital Nuestra Señora de Regla de Baní. Rev Med Dom 2000; 61: 197-201.
>Year 2011, Issue 4