Acute appendicitis in pregnancy - risk factors associated with principal outcomes: A case control study

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dc.contributor.authorYılmaz, Hatice Gülşen
dc.contributor.authorAkgün, Yılmaz
dc.contributor.authorBaç, Bilsel
dc.contributor.authorÇelik, Yusuf
dc.contributor.orcid0000-0003-2849-4033
dc.date.accessioned2024-04-24T17:56:08Z
dc.date.available2024-04-24T17:56:08Z
dc.date.issued2007
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: The aim of this study was to determine the risk factors associated with the principal outcomes in acute appendicitis during pregnancy: appendix-perforation, and maternal and fetal mortality and maternal morbidity. Methods: Fifty-two pregnant women who were diagnosed and operated upon acute appendicitis in Dicle University Hospital, Diyarbakir, Turkey were presented. Results: The frequency of appendicitis was higher in second trimester. On laparotomy 21 patients had perforated, 29 patients had non-perforated and 2 patients had normal appendix. Interval between symptom onset and operation was found as the only predictive variable, which was independently associated with the presence of appendiceal perforation. There was a significant difference between perforated and non-perforated patients about the rate of complications (52% vs. 17%). Gestational age (p = 0.036), interval between symptom onset and operation (p = 0.018) and white blood cell count (p = 0.025) were the variables related with preterm labor. Tocolytic treatment after the onset of contractions could not prevent preterm labor. The rate of fetal mortality was 8%. Conclusions: Presence of perforation is the only predictive factor for maternal morbidity. The aim of the surgeon should be operating the patient before perforation. An observation period may be essential in equivocal patients, but should be individualized according to duration of symptoms and findings of physical examination. The interval between the symptom onset and operation should never exceed 20 hours. Tocolytics should be ordered for the patients with delayed presentation and advanced gestational age in order to prevent preterm labor and fetal loss.en_US
dc.identifier.citationYılmaz, H. G., Akgün, Y., Baç, B. ve Çelik, Y. (2007). Acute appendicitis in pregnancy - risk factors associated with principal outcomes: A case control study. International Journal of Surgery, 5(3), 192-197.
dc.identifier.doi10.1016/j.ijsu.2006.05.005
dc.identifier.endpage197en_US
dc.identifier.issn1743-9191
dc.identifier.issue3en_US
dc.identifier.pmid17509502
dc.identifier.scopus2-s2.0-34248163114
dc.identifier.scopusqualityQ1
dc.identifier.startpage192en_US
dc.identifier.urihttps://doi.org/10.1016/j.ijsu.2006.05.005
dc.identifier.urihttps://hdl.handle.net/11468/23319
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S1743919106001063?via%3Dihub
dc.identifier.volume5en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorYılmaz, Hatice Gülşen
dc.institutionauthorAkgün, Yılmaz
dc.institutionauthorBaç, Bilsel
dc.institutionauthorÇelik, Yusuf
dc.language.isoenen_US
dc.relation.ispartofInternational Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAcute appendicitisen_US
dc.subjectFetal lossen_US
dc.subjectPerforationen_US
dc.subjectPregnancyen_US
dc.subjectTocolyticsen_US
dc.titleAcute appendicitis in pregnancy - risk factors associated with principal outcomes: A case control studyen_US
dc.titleAcute appendicitis in pregnancy - risk factors associated with principal outcomes: A case control study
dc.typeArticleen_US

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