Appendectomy for suspected appendicitis during pregnancy– a retrospective comparative study of 99 pregnant and 1796 non-pregnant women - Summary - MDSpire
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Appendectomy for suspected appendicitis during pregnancy– a retrospective comparative study of 99 pregnant and 1796 non-pregnant women
To analyze the frequency and diagnostic accuracy of clinical signs, laboratory findings, and imaging modalities in pregnant women undergoing surgery for suspected appendicitis compared to non-pregnant women, focusing on specific metrics such as rates of negative appendectomy and complications.
Key Findings:
Pregnant women presented atypical symptoms and had a higher rate of negative appendectomy compared to non-pregnant women.
Laparoscopic appendectomy was safe and preferred over open surgery during pregnancy.
Routine imaging, particularly ultrasound, was crucial for diagnosis but had limitations in visualizing the appendix.
Interpretation:
The study highlights the challenges in diagnosing appendicitis in pregnant women and supports laparoscopic appendectomy as a safe surgical option.
Limitations:
Retrospective design may introduce selection bias.
Single-center study limits generalizability of findings.
Conclusion:
This study contributes to the understanding of appendicitis management during pregnancy, emphasizing the importance of accurate diagnosis and the safety of laparoscopic techniques.
