Management of acute appendicitis in pregnancy

TURHAN, Ahmet Nuray; GÖNENÇ, Murat; KAPAN, Selin; Alış, Halil; Bozkurt, Mehmet Abdussamet

Management of acute appendicitis in pregnancy

Selin KAPAN, (Sağlık Bakanlığı, Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Mehmet Abdussamet BOZKURT, (Sağlık Bakanlığı, Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Ahmet Nuray TURHAN, (Sağlık Bakanlığı, Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Murat GÖNENÇ, (Sağlık Bakanlığı, Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Halil ALIŞ (Sağlık Bakanlığı, Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

3 0

Yıl: 2013 Cilt: 19 Sayı: 1 Sayfa Aralığı: 20 - 24 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Management of acute appendicitis in pregnancy

Öz:

AMAÇ:Akut apandisit gebelikte en sık rastlanan obstetrik dışı cerrahi patolojidir. Bu yazıda son 3 yılda ameliyat edilen gebelikteki akut apandisit olguları geriye dönük olarak de-ğerlendirildi. GEREÇ VE YÖNTEM Ocak 2009 ve Ocak 2011 arasında 20 gebe hasta akut apan- disit nedeniyle ameliyat edildi. Hastalar yaş, gebelik yaşı, klinik ve laboratuvar bulguları, görüntüleme sonuçları, ameliyat bulguları, ortalama hastanede yatış süresi, ortala- ma ameliyat süresi ve sonuçlar açısından değerlendirildi. BULGULAR Çalışmaya alınan 20 hastanın 17’sinde apandisit doğrulan- dı ve apendektomi uygulandı. Hastaların 10’u laparosko- pik, diğer 10 hasta ise açık ameliyata alındı. Hastaların hiç- birinde fetal morbidite ve mortalite görülmedi. Hastaların tümü ameliyat sonrası gebelik sonunda sağlıklı bebekler doğurdular. SONUÇ Akut apandisit gebe hastada zor bir tanı olmasına rağmen şüphe anında erken cerrahi girişim yapılmalıdır. Cerrahinin tipi cerrahın seçimine ve tecrübesine bağlıdır.

Anahtar Kelime:

Konular: Cerrahi

Gebelikte akut apandisit tedavisi

Öz:

Background: Acute appendicitis is the most common surgical nonobstetric pathology during pregnancy. In this report pregnant patients operated with diagnosis of acute appendicitis in the last 3 years are evaluated retrospectively. Methods: Between January 2009 and January 2011, 20 pregnant patients were operated for acute appendicitis. Patients were evaluated regarding age, gestational age, clinical and laboratory examinations, imaging studies, operative findings, mean hospital stay, mean operative time and outcome. Results: In 17 of 20 patients acute appendicitis was confirmed and appendectomy was performed. Ten of patients were operated with laparoscopic technique and remaining ten had open appendectomy. There was no fetal or maternal morbidity and mortality in any patient. All 20 patients delivered healthy babies on the postoperative course. Conclusion: Acute appendicitis is a challenging diagnosis in pregnant patient, however early surgical intervention should be performed with any suspect. Type of surgery depends on the surgeon’s choice and experience.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KAPAN S, Bozkurt M, TURHAN A, GÖNENÇ M, Alış H (2013). Management of acute appendicitis in pregnancy. , 20 - 24.
Chicago	KAPAN Selin,Bozkurt Mehmet Abdussamet,TURHAN Ahmet Nuray,GÖNENÇ Murat,Alış Halil Management of acute appendicitis in pregnancy. (2013): 20 - 24.
MLA	KAPAN Selin,Bozkurt Mehmet Abdussamet,TURHAN Ahmet Nuray,GÖNENÇ Murat,Alış Halil Management of acute appendicitis in pregnancy. , 2013, ss.20 - 24.
AMA	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H Management of acute appendicitis in pregnancy. . 2013; 20 - 24.
Vancouver	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H Management of acute appendicitis in pregnancy. . 2013; 20 - 24.
IEEE	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H "Management of acute appendicitis in pregnancy." , ss.20 - 24, 2013.
ISNAD	KAPAN, Selin vd. "Management of acute appendicitis in pregnancy". (2013), 20-24.

APA	KAPAN S, Bozkurt M, TURHAN A, GÖNENÇ M, Alış H (2013). Management of acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi, 19(1), 20 - 24.
Chicago	KAPAN Selin,Bozkurt Mehmet Abdussamet,TURHAN Ahmet Nuray,GÖNENÇ Murat,Alış Halil Management of acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi 19, no.1 (2013): 20 - 24.
MLA	KAPAN Selin,Bozkurt Mehmet Abdussamet,TURHAN Ahmet Nuray,GÖNENÇ Murat,Alış Halil Management of acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi, vol.19, no.1, 2013, ss.20 - 24.
AMA	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H Management of acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(1): 20 - 24.
Vancouver	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H Management of acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi. 2013; 19(1): 20 - 24.
IEEE	KAPAN S,Bozkurt M,TURHAN A,GÖNENÇ M,Alış H "Management of acute appendicitis in pregnancy." Ulusal Travma ve Acil Cerrahi Dergisi, 19, ss.20 - 24, 2013.
ISNAD	KAPAN, Selin vd. "Management of acute appendicitis in pregnancy". Ulusal Travma ve Acil Cerrahi Dergisi 19/1 (2013), 20-24.