Apendicectomía en la embarazada: Experiencia en un hospital público chileno

• Jean Michel Butte B ^[1] ; M Fernanda Bellolio A ; Francisca Fernández L ; Marcel Sanhueza G ^[1] ; Sergio Báez V ^[1] ; Rodrigo Kusanovich B ^[1] ; Eduardo Viñuela F ^[1] ; Rogelio González P ^[2] ; Martha Pruyas A ^[3] ; Verónica Díaz A ^[4] ; Jorge Martínez C ^[1]
  1. [1] Hospital Doctor Sótero del Río Servicios de Cirugía
  2. [2] Hospital Doctor Sótero del Río Gineco-Obstetricia
  3. [3] Hospital Doctor Sótero del Río Anatomía Patológica
  4. [4] Hospital Doctor Sótero del Río Centro de Diagnóstico y Estudios Perinatales

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 134, Nº. 2, 2006, págs. 145-151
• Idioma: español
• Títulos paralelos:
  • Appendectomies for suspected acute appendicitis during pregnancy: Experience at a Chilean public hospital
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• Resumen

  • Background: Acute appendicitis is the most common non obstetric surgical emergency during pregnancy. Aim: To asses our experience in the diagnosis and management of acute appendicitis occurring during pregnancy. Patients and methods: Data from all pregnant patients who were subjected to an appendectomy for a suspected acute appendicitis from January 1998 to December 2002, were retrospectively analyzed. All pathological, surgical, clinical records and the delivery outcome registry of each patient were reviewed. Results: Among 47,322 deliveries, 46 pregnant women aged 29±9 years and with a gestational age of 21±7 weeks, were operated because of a presumptive acute appendicitis. Forty (87%) had a histopathologically proven appendicitis; ten (25%) cases had a perforated appendix and 30 (75%) had a non-perforated appendicitis. Five (10.9%) patients had a negative laparotomy and one had a necrotic ovarian tumor. Patients with perforated and non perforated appendices had a similar lapse from the onset of symptoms to operation (69±45 and 50±34 hours respectively, NS) and a similar white cell count (15,667±3,707 and 13,006±5,206 cells/mm³, respectively, NS). Wound infection was the most common surgical complication in 15%. Seven (15%) patients had a premature delivery and there was one fetal death (2.2%). There were no pregnancy complications on negative appendectomy cases. Conclusions: Acute appendicitis continues to be a challenge in diagnosis and treatment during pregnancy. Maternal and fetal outcome was better than previously reported