Reasons for Undesirable Pregnancy Outcomes among Women with Appendicitis: The Experience of a Tertiary Center
Joint Authors
Firat, Necattin
Mantoglu, Baris
Altintoprak, Fatih
Gonullu, Emre
Akdeniz, Yesim
Aziret, Mehmet
Erkorkmaz, Unal
Dikicier, Enis
Source
Emergency Medicine International
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-15
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Although laparoscopic appendectomy increases its popularity today, the answer to the question of whether to perform open or laparoscopic appendectomy during pregnancy is appropriate in many studies, and the choice of surgery depends on the surgeon.
Herein, we aimed to evaluate the variables that affect undesirable pregnancy outcomes that occur as a result of appendicitis during pregnancy.
Methods.
Seventy-eight pregnant patients with acute appendicitis who underwent laparoscopic or open technique intervention enrolled in this retrospective study.
In addition to the demographic structure of the patients, surgical technique, the number of pregnancies, multiple pregnancy status, surgical pathologies, laboratory values, radiological imaging methods, and length of hospital stay were evaluated.
The severity of appendicitis was classified according to the pathology results.
The patients were divided into two groups according to the outcomes of their pregnancy.
Preterm delivery and abortion involved in the study as a single complication section.
Results.
The mean age of the pregnant patients was 28.6 ± 5.
Of the 78 pregnant women with appendicitis, 47.4% had their first pregnancy, 37.2% had their second pregnancy, and 15.4% had 3 or more pregnancies.
The preterm delivery and abortus were 19.5% in the open appendectomy (OA) group and 16.2% in the laparoscopic appendectomy (LA) group.
No statistically significant difference was detected in this group in terms of appendicitis pathology triggering preterm delivery or abortion (p 0.075).
When white blood count (WBC) and C-reactive protein (CRP) were evaluated by laboratory findings, CRP was found to be statistically significantly higher in patients with preterm birth (p 0.042).
Conclusion.
Consequently, acute appendicitis may cause serious intra-abdominal infection and inflammation in addition to the complexity of the diagnosis due to the nature of pregnancy, as well as undesired pregnancy outcomes with the surgical technique, or independently with other variables.
American Psychological Association (APA)
Mantoglu, Baris& Altintoprak, Fatih& Firat, Necattin& Gonullu, Emre& Dikicier, Enis& Akdeniz, Yesim…[et al.]. 2020. Reasons for Undesirable Pregnancy Outcomes among Women with Appendicitis: The Experience of a Tertiary Center. Emergency Medicine International،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159055
Modern Language Association (MLA)
Mantoglu, Baris…[et al.]. Reasons for Undesirable Pregnancy Outcomes among Women with Appendicitis: The Experience of a Tertiary Center. Emergency Medicine International No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1159055
American Medical Association (AMA)
Mantoglu, Baris& Altintoprak, Fatih& Firat, Necattin& Gonullu, Emre& Dikicier, Enis& Akdeniz, Yesim…[et al.]. Reasons for Undesirable Pregnancy Outcomes among Women with Appendicitis: The Experience of a Tertiary Center. Emergency Medicine International. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1159055
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1159055