Alotaibi Abdulrahman M, Moshref Leena H, Moshref Rana H, Felemban Lina S
Department of Surgery, Faculty of Medicine, University of Jeddah, Jeddah, Saudi Arabia.
Department of Surgery, Doctor Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.
Obstet Gynecol Int. 2021 Nov 27;2021:8036970. doi: 10.1155/2021/8036970. eCollection 2021.
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 ( = 0.415). Compared to the nonpregnant, the pregnant group has a more fecolith, positive peritoneal fluid culture, and wound infection, with 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.
本研究是在一家私立三级医疗中心进行的回顾性队列研究。我们纳入了2016年1月至2018年12月期间因急性阑尾炎接受手术的190名女性患者。根据是否怀孕将患者分为两组。主要观察指标为手术期间或术后的并发症发生率和流产风险。190名女性患者中,有8名怀孕(4.2%)。与未怀孕组相比,怀孕组接受超声检查的比例更高。两名孕晚期怀孕患者出现的复杂性阑尾炎与未怀孕患者相比无统计学差异。怀孕患者中有6/8(75%)接受了腹腔镜阑尾切除术,未怀孕患者中这一比例为158/182(87%)(P = 0.415)。与未怀孕患者相比,怀孕组粪石、腹腔积液培养阳性和伤口感染的情况更多见,其中25%的情况更频繁出现。没有怀孕患者在手术期间或术后发生流产、早产或死亡。总之,腹腔镜阑尾切除术对于怀孕合并急性阑尾炎患者是一种低风险手术。