Surgical management of acute appendicitis in pregnant women

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Published Mar 28, 2023
DOI https://doi.org/10.25248/reamed.e12105.2023

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Manuela Pinho Marinho Gilberto
Universidade de Vassouras
Maria Eduarda Luizeto de Oliveira
Universidade de Vassouras
Mariane Barros Ribeiro Campos
Universidade de Vassouras
Rayana Moreira Saloio
Universidade de Vassouras
Aline Trovão Queiroz
Universidade de Vassouras

Abstract

Objective: To discuss the surgical treatments used on the approach of acute appendicitis in pregnant women. their risks and safety. Methods: It was carried out through an integrative literature review, a search in the PubMed, BVS and Science Directs databases, using the descriptors “acute appendecitis”, “pregnancy” and “surgical treatment”.  Inclusion and exclusion criteria were applied for the selection of articles, totaling 23 selected articles. Results: The selection showed that laparoscopy was the most performed surgery and presents several benefits compared to laparotomy. The laparoscopy surgery besides the peri operative advantages, this type of surgery has post operative advantages as well. It is necessary, however, to have more careful during the surgery due to growth of the uterus and the chance of perforating it. Even with smaller numbers, laparotomy shows some considerations, although, less relevant and even more complications. Final Considerations: Thus, it is observed that laparoscopic surgery is the most accepted procedure and the most performed in pregnant women with acute appendicitis, due to showing better outcomes.

Article Details

How to Cite
GilbertoM. P. M., OliveiraM. E. L. de, CamposM. B. R., SaloioR. M., & QueirozA. T. (2023). Surgical management of acute appendicitis in pregnant women. Revista Eletrônica Acervo Médico, 23(3), e12105. https://doi.org/10.25248/reamed.e12105.2023
Issue
Vol 23 No 3 (2023): Revista Eletrônica Acervo Médico (ISSN 2764-0485) | Volume 23 (3) | 2023
Section
Revisão Bibliográfica

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References

1. AGGENBACH L, et al. Impact Of appendicitis during pregnancy: NO delay in accurate diagnosis and treatment. Internacional Journal os Surgery, 2015; 15: 84-9.

2. ARAS A, et al. The diagnosis of Acute Appendicitis in pregnant versus non-pregnant women: A comparative study. Ver. Assoc Med Bras, 2016; 62(7): 622-7.

3. ARER IM. Acute appendicitis during pregnancy: Case series of 20 pregnant women. Ulus Travma Acil Cerrahi Derg, 2016. Disponível em http://www.journalagent.com/travma/pdf/UTD_22_6_545_548.pdf

4. AUBRY A, et al. Outpacient appendectomy in na emergency outpacient surgery unit 24h a day: na intention-to-treat analysis of 194 pacients. World J Surg, 2017; 41(10) :2471-9.

5. BAIRD DLH, et al. Acute appendicitis. BMJ, 2017; j1703.

6. BAZDAR S, et al. Acute appendicitis during pregnancy; results of a cohort study in a single iranian center. BEAT, 2018; 6(2): 122–7.

7. BHANDARI TR, et al. Acute appendicitis is pregnancy and the developing world. Internacional Scholarly Research Notices, 2017: 1-5.

8. CAI Y-L, et al. Laparoscopic appendectomy is safe and feasible in pregnant women during second trimester: a retrospective study in a top-level chinese center. Medicine, 2020; 99(33): e21801.

9. CHENG H-T, et al. Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis a maternal outcome. Surg Endosc, 2015; 29(6): 1394-9.

10. CHUNG J, et al. Clinical outcomes compared between laparoscopic and open apprendectomy in pregnant women. Can J Surj, 2013; 56(5): 341-6.

11. DONKERVOORT SC e BOERMA D. Suspicion os acute appendecitis in the third trimester os pregnancy: pros ans cons of a laparoscopic procedure. JSLS, 2011; 15(3): 379-83.

12. El MA, et al. Acute appendicitis complicating pregnancy: a 33 case series, diagnosis and management features maternal and neonatal oucomes. Pan Afr Med J, 2018; 30.

13. EOM JM, et al. Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis. Ann Acad Med Singap, 2012; 41(2): 82-6.

14. GOK AFK, et al. Laparoscopic open appendectomy in oregnancy: asingle center experience. Ulus Travma Acil Cerrahi Derg, 2018; 24: 552-556.

15. JEONG J-S, et al.Laparoscopic appendectomy is a safe and beneficial procedure is pregnant women. Surgical Laparoscopy, Endoscopy and Percutaneous Techniques, 2011; 21(1): 24-7.

16. KAPAN S, et al. Management os acute appendicitis in pregnancy. Ulus Travma Acil Cerrahi Derg, 2013; 19(1): 20-4.

17. KARAMAN E, et al. Maternal and fetal outcomes after laparoscopic vs. Open appendectomy in pregnant women:data from two tertiary referral centers. Ginekol Pol, 2016; 98-103.

18. KWON H, et al. Laparoscopic management is feasible for nonobstetric surgical disease in all trimestres of pregnancy. Surg Endosc, 2018; 32(6): 2643-9.

19. LAUSTSEN JF, et al. Laparoscopic Appendectomy during pregnancy is safe for both the mother and the fetus. Dan Med J, 2016; 63(8): A5259.

20. LEE SH, et al. Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis. BMC Surg, 2019; 19(1): 41.

21. LOGRADO A, et al. Laparostomy during pregnancy: A case report. International Journal of Surgery Case Reports, 2018; 51: 120-4.

22. MAIMAITI A, et al. Laparooscopic appendectomy in pregnancy with acute appendicitis: single center experience with world review. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2017; 27(6): 460-4.

23. MILOUDI N, et al. Acute appendicitis in pregnancy: specific features os diagnosis and treatment. Jounal Of Visceral Surgery, 2012; 149(4): e275-9.

24. NEZHAT FR, et al. Laparoscopy during pregnancy: a literature review, 1997; 1(1): 17–27.

25. OLIVEIRA ALG, et al. Apendicectomia videolaparoscópica: análise prospectiva de 300 casos. ABCD, arq bras cir dig, 2008; 21(2): 69–72.

26. PELED Y, et al. Appendectomy during pregnancy-is pregnancy outcome depending by operation technique? The journal of Maternal and fetal & Neonatal Medicine, 2014; 27(4): 365-7.

27. QUEZADA F, et al. Laparoscopic versus open approach in the management of appendicitis complicades with peritonitis: A single center exprerience. International journal of surgery, 2015; 13: 80-3.

28. WILASRUSMEE C, et al. Systematic review and metaanalysis of safety of laparoscopic versus open appendectomy for suspected appendicitis in Pregnancy. British journal of Surgery, 2012; 99(11): 1470-8.

29. YOO KC, et al. Could laparoscopic appendectomy in pregnancy women affect obstetric outcomes? A multicenter study. Int J Colorectal Dis, 2016; 31(8): 1475-81.

30. ZACHARIAH SK, et al. Management of acute abdomen in pregnancy: current perspectives. Int J Womens Health, 2019; 11: 119–34.