TY  - JOUR
TI  - Comparison of the demographic and clinical features of pregnant and non-pregnant patients undergoing appendectomy
AB  - BACKGROUND: This retrospective study aims to compare the demographic and clinicopathological characteristics of the pregnantand non-pregnant patients who underwent appendectomy with a presumed diagnosis of acute appendicitis.METHODS: Between June 2009 and January 2019, 431 reproductive-aged of female patients underwent appendectomy with a presumeddiagnosis of acute appendicitis. Patients were divided into two groups considering their pregnancy status: pregnant group (n=48)and non-pregnant group (n=383). Both groups were compared with respect to demographic, clinical and histopathological features.RESULTS: No statistically significant difference was found between pregnant and non-pregnant groups except total bilirubin level(p=0.019) and ultrasonographic findings (p=0.016). In the non-pregnant group, negative appendectomy and perforation rates were 26%and 10.5%, where these rates for the pregnant group were 20.8% and 4.2%. Sensitivity, specificity and accuracy rates of ultrasonographyfor the pregnant group were 50%, 100% and 58.5%, where these rates for the non-pregnant group were 67.3%, 57.9% and 65%. Thepregnancy date was the first trimester in 52.1%, the second trimester in 29.2% and the third trimester in 16.7% of the pregnants. Noneof the term births (87.5%) resulted in neither a fetal nor a maternal complication. However, 12.5% of the preterm births resulted inneonatal mortality.CONCLUSION: Although not statistically significant, this study points out relatively lower rates of negative appendectomy andperforated acute appendicitis among pregnant patients, which is related to the overly attentive evaluation of pregnants admitted dueto acute abdomen.
AU  - Yilmaz, Sezai
AU  - INCI COSKUN, EBRU
AU  - Akbulut, Sami
AU  - Koc, Cemalettin
AU  - Sarici, Baris
DO  - 10.14744/tjtes.2020.12544
PY  - 2020
JO  - Ulusal Travma ve Acil Cerrahi Dergisi
VL  - 26
IS  - 4
SN  - 1306-696X
SP  - 555
EP  - 562
DB  - TRDizin
UR  - http://search/yayin/detay/367309
ER  -