Analysis of 190 Female Patients after Appendectomy
- PMID: 34873404
- PMCID: PMC8643258
- DOI: 10.1155/2021/8036970
Analysis of 190 Female Patients after Appendectomy
Abstract
This study is a retrospective cohort review carried out at a single, private tertiary center. We included 190 female patients who underwent surgery for acute appendicitis between January 2016 and December 2018. Two groups of patients were analyzed based on the pregnancy. The main outcome measures were complication rate and risk of abortion during or after surgery. Out of 190 female patients, eight of them were pregnant (4.2%). The pregnant group more significantly underwent ultrasound investigation compared to the nonpregnant group. Complicated appendicitis present in two pregnant patients at advanced gestational age was not statistically significant from nonpregnant. Laparoscopic appendectomy was performed in 6/8 (75%) of pregnant compared to 158/182 (87%) in nonpregnant (p = 0.415). Compared to the nonpregnant, the pregnant group has a more fecolith, positive peritoneal fluid culture, and wound infection, with E. coli more frequently isolated in 25%. None of the pregnant patients had an abortion, preterm labor, or mortality during or after surgery. In conclusion, laparoscopic appendectomy is a low-risk operation for pregnant with acute appendicitis.
Copyright © 2021 Abdulrahman M. Alotaibi et al.
Conflict of interest statement
The authors declare that there are no conflicts of interest regarding the publication of this paper.
Similar articles
-
The diagnostic performance of ultrasound for acute appendicitis in pregnant and young nonpregnant women: A case-control study.Int J Surg. 2016 Oct;34:81-85. doi: 10.1016/j.ijsu.2016.08.021. Epub 2016 Aug 20. Int J Surg. 2016. PMID: 27554180
-
Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome.Surg Endosc. 2015 Jun;29(6):1394-9. doi: 10.1007/s00464-014-3810-5. Epub 2014 Aug 30. Surg Endosc. 2015. PMID: 25171885
-
Acute Appendicitis During Pregnancy: Different from the Nonpregnant State?World J Surg. 2017 Jan;41(1):75-81. doi: 10.1007/s00268-016-3731-7. World J Surg. 2017. PMID: 27730353
-
Laparoscopic Appendectomy in Pregnancy With Acute Appendicitis: Single Center Experience With World Review.Surg Laparosc Endosc Percutan Tech. 2017 Dec;27(6):460-464. doi: 10.1097/SLE.0000000000000478. Surg Laparosc Endosc Percutan Tech. 2017. PMID: 28984719 Review.
-
Outcomes after open and laparoscopic appendectomy during pregnancy: A meta-analysis.Eur J Obstet Gynecol Reprod Biol. 2018 Jun;225:40-50. doi: 10.1016/j.ejogrb.2018.04.010. Epub 2018 Apr 9. Eur J Obstet Gynecol Reprod Biol. 2018. PMID: 29656140 Review.
Cited by
-
Varying negative appendectomy rates after laparoscopic appendectomy: a systematic review and meta-analysis.Langenbecks Arch Surg. 2023 May 23;408(1):205. doi: 10.1007/s00423-023-02935-z. Langenbecks Arch Surg. 2023. PMID: 37219616
-
Pregnant patients requiring emergency general surgery: a scoping review of diagnostic and management strategies.Can J Surg. 2025 May 29;68(3):E190-E213. doi: 10.1503/cjs.001124. Print 2025 May-Jun. Can J Surg. 2025. PMID: 40441877 Free PMC article.
References
-
- Frountzas M., Nikolaou C., Stergios K., Kontzoglou K., Toutouzas K., Pergialiotis V. Is the laparoscopic approach a safe choice for the management of acute appendicitis in pregnant women? A meta-analysis of observational studies. Annals of the Royal College of Surgeons of England . 2019;101(4):235–248. doi: 10.1308/rcsann.2019.0011. - DOI - PMC - PubMed
-
- Tase A., Kamarizan M. F. A., Swarnkar K. Appendicitis in pregnancy: difficulties in diagnosis and management. Guidance for the emergency general surgeon: a systematic review. International Journal of Surgery Open . 2017;6:5–11. doi: 10.1016/j.ijso.2017.02.001. - DOI
LinkOut - more resources
Full Text Sources