2002, Number 1
Rev Mex Cir Endoscop 2002; 3 (1)
Complicated conventional appendectomy in a pregnant female patient: Total resolution laparoscopic via
Lancaster-Jones WB, Robles PPJ, García LJ, León QN, Ochoa VC, Navarro GG
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Language: Spanish
References: 12
Page: 34-37
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ABSTRACT
Objective: The purpose of this study is to report a pregnant female patient, who underwent conventional appendectomy, she developed acute abdomen. This complication was successfully treated by laparoscopy. Design: Description of one case. Setting: Third level health care hospital. Description of the case: This is a 28 year old pregnant female in her second trimester, who underwent conventional appendectomy one weak prior to her admission to the hospital. The patient developed acute abdominal pain vomiting and fever 24 hours after her initial surgical procedure, she was treated with oral antibiotics, amoxicilina 500 mg q 8 h. She is then admitted to the hospital where her initial physical exam reveals, acute abdominal pain, rebound, tenderness, absent bowel sounds and fever, there is also purulent drainage coming out of the surgical wound in the right lower quadrant, laboratory blood test, 10,500 leukocytes, she was then taken to the operating room where under general anesthesia laparoscopy is performed using a 5 mm trocar in the left upper quadrant a second trocar was placed in the right upper quadrant in the order to introduce a irrigation canula and been able to copiously irrigate with saline solution and aspirate all the material. Penrose drains where placed and wound closed. Her post op. course was excellent no complications were seen, and she was discharged in satisfactory condition 72 h after surgery. She was seen in the office for follow up on a weekly basis during which time Conclusion: Nowadays endoscopy surgery is considered to be adequate and of great benefit to pregnant patients who develop acute surgical abdomen and requires an effective low morbidity safe procedure.REFERENCES