O manejo cirúrgico da apendicite aguda em gestantes

##plugins.themes.bootstrap3.article.main##

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

Resumo

Objetivo: Discutir sobre as terapias cirúrgicas utilizadas na abordagem da apendicite aguda em gestantes, seus riscos e segurança. Métodos: Foi realizado através de uma revisão integrativa de literatura, uma pesquisa nas bases de dados PubMed, BVS e Science Directs, com a utilização dos descritores “acute appendecitis”, “pregnancy” e “surgical treatment”. Foram aplicados critérios de inclusão e exclusão para seleção dos artigos, totalizando 23 artigos selecionados. Resultados: A seleção mostrou que a laparoscopia foi a cirurgia mais realizada e que esta apresenta diversos proveitos frente à laparotomia. A cirurgia laparoscópica além de apresentar benefícios no perioperatório, também apresenta no pós-operatório. É preciso, porém, ter maior cuidado durante a cirurgia visto o aumento uterino e a chance de perfurá-lo. Mesmo em menor número, a laparotomia apresenta certas considerações, porém, menos relevantes e, ainda, possui mais complicações. Considerações finais: Dessa forma, é observado que a cirurgia laparoscópica é o procedimento mais bem aceito e o mais realizado em gestantes com apendicite aguda, em razão de mostrar melhores desfechos

##plugins.themes.bootstrap3.article.details##

Como Citar
GilbertoM. P. M., OliveiraM. E. L. de, CamposM. B. R., SaloioR. M., & QueirozA. T. (2023). O manejo cirúrgico da apendicite aguda em gestantes. Revista Eletrônica Acervo Médico, 23(3), e12105. https://doi.org/10.25248/reamed.e12105.2023
Seção
Revisão Bibliográfica

Referências

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.