>Year 2017, Issue 4
Acute abdomen and appendectomies in fertile women: the role of the general surgeon
Cir Gen 2017; 39 (4)
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Background: Gynecological disorders related to general surgery may fall in one of five categories: 1) acute abdomen, 2) unexpected gynecological disorders discovered during exploratory laparotomy, 3) pain during pregnancy, 4) pregnancy and urinary disorders, and 5) cancer of gynecological cause. The first two disorders are the ones most often faced by a general surgeon.
Material and methods: In order to determine the incidence of gynecological disorders treated by general surgeons and the resulting iterative appendectomies in cases of acute abdomen in fertile women, a retrospective, observational cohort analysis was conducted on women with exploratory laparotomy and clinical symptoms of acute abdomen and/or probable acute appendicitis, over a period of four years in a newly created secondary hospital.
Results: During the study period, 126 women of childbearing age (between 11 and 45 years of age) with acute abdomen and probable acute appendicitis were surgically intervened, of which 19 met the criteria for admission to the study due to gynecoobstetric disease without acute appendicitis. There was only one case of morbidity (textiloma) and no mortality.
Discussion: In our work, we found an incidence of 15% of acute appendicitis diagnostic fails, which is below international standards; it is known that from 6 to 25% of the surgeries for acute appendicitis reveal a normal appendix, and this number rises to 30 to 40% in women of childbearing age.
||Acute abdomen, appendectomy, fertile women, general surgeon.
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>Year 2017, Issue 4