The Surgical Management Of Intra-Abdominal Inflammatory Conditions During Pregnancy

Fallon, William F.; Newman, James S.; Malangoni, Mark A.; Fallon, Gerald L.

doi:10.1016/s0039-6109(16)46530-8

Cited by 71 publications

(75 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Anatomically, the appendix is displaced out of the right lower quadrant to the right lateral upper quadrant. Leukocytosis is common in uneventful pregnancy [4,6,7]. Diagnostic studies, including ultrasound, are of little help; only a physical examination is reliable.…”

Section: Introductionmentioning

confidence: 99%

“…Delay with resultant appendiceal rupture with peritonitis has fetal consequences [8]. Peritonitis after perforation increases the risk of unstable gestation and fetal losses are up to 20% in cases of perforated appendicitis and up to 35.7% in generalized peritonitis compared to less than 5% in case of uncomplicated acute appendicitis [6]. Thus, clinical suspicion of acute appendicitis during pregnancy is an indication for surgical exploration [2].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

View full text Add to dashboard Cite

Background Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. Methods More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32 weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. Results In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks 22, 23, and 25, and 13 were in the third trimester, weeks 27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies.Conclusion From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetus.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…En un estudio realizado en Baltimore en el 2009 se llegó a la conclusión que en los casos de abdomen agudo quirúrgico en el embarazo la apendicitis aguda ocupa el primer lugar con 1 caso por cada 1.500 a 2.000 gestantes que coincide con el estudio Inca 11 en 1 por cada 1.500 gestantes, Burkina Faso se constató 1 por cada 1.000 y en nuestra revisión de casos se constató 24 de 76 pacientes ocupando el 2 do lugar en prevalencia. 28,30,31 que coincide con los números de Baltimore. En nuestra casuística, ocupa el primer lugar con un total de 40 pacientes de 76 ingresadas por cuadro quirúrgico en gestantes.…”

Section: Discussionunclassified

“…La patología de vías biliares asociada al embarazo deberá valorarse en forma adecuada tomando en cuenta la presencia del embarazo así como también la edad gestacional y decidir si se puede ofrecer manejo médico conservador o por el contrario se debe decidir por el tratamiento quirúrgico. Los factores de riesgo bien definidos que se describen son: edad, sexo femenino, obesidad, historia familiar 28,29 .…”

Section: Apendicitis Aguda En El Embarazounclassified

Surgical pathologies in pregnancy

Olmedo

Segovia

2016

Rev. Nac. (Itauguá)

View full text Add to dashboard Cite

Introducción: una de cada 50 mujeres presentará durante su embarazo dolor abdominal potencialmente quirúrgico y una de cada 600 mujeres embarazadas requerirá de cirugía abdominal no obstétrica durante el embarazo. Objetivos: determinar la frecuencia y características demográficas y clínicas de patologías quirúrgicas durante el embarazo en pacientes internadas en el Hospital Nacional del año 2010 al 2014. Metodología: diseño observacional, descriptivo, retrospectivo de corte trasversal. Población estudiada: gestantes y/o puérperas atendidas en el Hospital Nacional con diagnóstico de patologías quirúrgicas durante los años 2010-2014. Muestreo no probabilístico según criterio. Resultados: se hallaron76 mujeres (0,5%) con patologías quirúrgicas, la edad media fue 27 ± 6,2 años. La litiasis vesicular y la apendicitis aguda fueron las más frecuentes. La media de edad gestacional fue 28 ± 9,4 semanas. Las complicaciones fueron abdomen agudo y pancreatitis aguda, requiriendo cirugía 39(51,3%) pacientes. Conclusiones: la frecuencia de patologías quirúrgicas fue menor al 1%, las patologías biliares y apendiculares fueron las más frecuentes.Palabras claves: apendicitis aguda, colecistitis aguda, pancreatitis aguda, embarazo. ABSTRACT Introduction:One in 50 women during pregnancy will potentially present surgical abdominal pain and one of every 600 pregnant women will require nonobstetric abdominal surgery during pregnancy. To determine the frequency and types of surgical pathologies during pregnancy in patients hospitalized in the National Hospital from 2010 to 2014. Methodology: observational, descriptive, retrospective study cross-sectional. Population studied pregnant and / or postpartum women treated at the National Hospital with a diagnosis of surgical pathologies during the years 2010-2014, no probabilistic sampling according to criteria. Results: 76 (0.5%) with surgical pathologies, median age were found: 27 ± 6.2 years, Cholelithiasis and acute appendicitis were the most frequent. Median gestational age was 28 ± 9.4 weeks. The complication were acute abdominal patology and acute pancreatitis, requiring surgery 39 (51.3%) patients. Conclusions: The frequency of surgical pathologies were less than 1%, biliary and appendicular pathology were the most frequent.

show abstract

“…3). Die Abortrate ist bei akuter Appendizitis mit 3-5% und bei Perforation mit bis zu 20% zu erwarten [28]. Die höchsten Perforationsraten finden sich im 3.…”

Section: Sonderfall Appendizitis In Der Schwangerschaftunclassified

Akute Appendizitis

Koch¹,

Marusch²,

Wolff³

et al. 2002

Visc Med

View full text Add to dashboard Cite

Acute Appendicitis Epidemiological data indicate a decrease in the incidence of acute appendicitis, which is currently estimated to be 110–200 per 100,000 of the population. In the diagnostic workup, ultrasonography and computed tomography are of help in the differential diagnosis, particularly when the abdominal symptoms are unclear. Over the past decade, laparoscopy has become established as a diagnostic method offering an additional therapeutic option. In cases of nonperforated appendicitis, the treatment of choice is laparoscopic appendectomy, the particular benefits of which are to be seen in reduced postoperative wound infection and faster convalescence. In the event of perforated appendicitis and peritonitis, laparoscopic appendectomy is associated with a higher rate of postoperative intra-abdominal abscesses. In these cases the preferred indication is for open appendectomy.

show abstract

The Surgical Management Of Intra-Abdominal Inflammatory Conditions During Pregnancy

Cited by 71 publications

References 24 publications

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Surgical pathologies in pregnancy

Akute Appendizitis

Contact Info

Product

Resources

About