Acute appendicitis in pregnancy: an integrative review

Authors

DOI:

https://doi.org/10.33448/rsd-v12i3.40716

Keywords:

Appendicitis; Pregnancy; Laparoscopy.

Abstract

To analyze the methods used to diagnose and treat acute appendicitis in pregnant patients, also aiming to differentiate these methods when performed on non-pregnant patients. This article is an integrative literature review. The databases of scientific articles were used to perform the searches: Us National Library Of Medicine (PUBMED) and Scientific Electronic Library Online (SCIELO). The terms were used to meet the theme: “Appendicitis” AND “Pregnancy” AND “Laparoscopy”. The time frame includes articles published between 1995 and 2022. Acute appendicitis in pregnancy is the most common cause of non-obstetric abdominal disease that determines the need for emergency surgery. In addition, acute appendicitis in pregnant women is difficult to diagnose due to the anatomical and physiological changes resulting from pregnancy, such as displacement of the appendix due to uterine growth. In case of acute appendicitis in women, laparoscopic surgery is the best method to be used, since it provides advantages in the postoperative period that open surgery does not provide. Acute appendicitis in pregnant women, even with low mortality nowadays, needs to be diagnosed quickly, since appendix perforation can increase mortality and put mother and fetus at risk.

References

Al-Mulhim, A. A. (1996). Acute appendicitis in pregnancy. A review of 52 cases. Int Surg. (81): 295-7

Araújo, A. B., Oliveira, C. R. V., & Reis, B. C. C. (2022). Fatores gestacionais de ocorrência de apendicite e complicações no pós-operatório: revisão integrativa de literatura. Revista Eletrônica Acervo Médico, 6, e10018. https://doi.org/10.25248/reamed.e10018.2022

Babler, E. A. (1908). Perforative appendicitis complicating pregnancy. JAMA. (51): 801-9.

Bailey, L. E., Finley, R. K Jr., Miller, S. F., & Jones, L. M. (1986). Acute appendicitis during pregnancy. Am Surg. (52): 218-21.

Barbosa, G. F., Oliveira, S. G. de, Martins, G. S., Spaziani, A. O., Santos, R. Érica dos, Alberti, L. F., Costa, M. I. O. da, Tonani, P., Barbosa, T. C., Frota, R. S., Cunha, A. R., & Faidiga, L. (2020). Apendicite aguda em paciente gestante: relato de caso. Archives of health investigation, 10(1), 129–133. https://doi.org/10.21270/archi.v10i1.4845

Barloon, T. J., Brown, B. P., Abu-Yousef, M. M., Warnock, N. & Berbaum, K. S. (1995). Sonography of acute appendicitis in pregnancy. Abdom Imaging. 20: 149-51.

Barros, F. C., Kunzle, J. R. & Ribeiro Filho, J. A. (1991). Apendicite aguda na gravidez. Rev Paul Med. 109: 9-13.

Batista, L. S., Dourado, B. F., Bezerra, D. P., Lopes, E. F., Monteiro, G. L. B., Rosa, J. C.da S,. Abdo, T. V. V., & Corrêa, W. P. (2021). Cirurgia laparoscópica na apendicite aguda em grávidas: revisão bibliográfica. Revista Eletrônica Acervo Saúde, 13(6), e6914.

Carvalho, C. M. P., Souza, I. T. L. de., Miranda, T. G. de, & Arienzo, V. P. (2018). Gestação e apendicite. Revista Da Faculdade De Ciências Médicas De Sorocaba, 19(Supl.).

Curet, M. J., Allen. D., Josloff, R. K et al. (1996). Laparoscopy during pregnancy. Arch Surg (131): 546-551.

Curet, M. J., Vogt, D. A., Schob, O. et al. (1996). Effects of CO2 pneumoperitoneum in pregnant ewes. J Surg Res (63): 339-344.

Ferreira, P. E. L., et al. (2020). Desfechos materno-fetais da apendicectomia na gestação: uma comparação entre técnica aberta e laparoscópica. Revista Médica de Minas Gerais, 30, e-30204.

Firstenberg, M. S., & Malangoni, M. A., (1998). Gastrointestinal surgery during pregnancy. Gastro Clin N Am.27(1): 73-89.

Halvorsen, A. C., Brandt, B., & Andreasen, J. J., (1992). Acute appendicitis in pregnancy: complications and subsequent management. Eur J Surg (158): 603-6.

Hancock, H., (1848). Diseases of the appendix caeci cured by operation. Lancet (2): 380-2.

Junior, D. A. P., Bomfim, M. B., Rodrigues, T. S. N., Jesus, M. A. T. de., Barros, A. B. A. de M., Belfort, S. R. D., & Costa, I. P. G. da. (2023). Apendicite aguda durante a gestação: revisão de literatura. Revista Foco, 16(1), e789.

Liang, C. C., Hsieh, T. T., & Chang, S. D., (1989). Appendicitis during pregnancy. Chang Keng I Hsueh (12): 208-14.

Moore, J. G., (1984). Condições cirúrgicas na gravidez. In: Hacker NF e Moore JG. Fundamentos de Ginecologia e Obstetrícia. Porto Alegre: Artes Médicas: 156-60.

Reis, P. S., (2022). Apendicite aguda: revisão da literatura. 37 f. Trabalho de Conclusão de Curso (Graduação em Biomedicina). Fundação Educacional Vale do São Francisco – FEVASF-MG.

Sharp, H. T., (1994). Gastrointestinal surgical conditions during pregnancy. Clin Obst Gynecol 37(2): 306-315.

To, W. W., Ngai, C. S., & Ma, H. K. (1995). Pregnancies complicated by acute appendicitis. Aust N Z Surg (65):799-803.

Walton, N. K. D., & Melachuri, V. K., (2006). Anaesthesia for non-obstetric surgery during pregnancy. Continuing Education in Anaesthesia, Critical Care & Pain, 6(2), 83-85.

Wilasrusmee, C. et al. (2012). Systematic review and meta-analysis of safety of laparoscopic versus open appendicectomy for suspected appendicitis in pregnancy. Br J Surg. 99(11):1470-8.

Downloads

Published

16/03/2023

How to Cite

ZANUTO, T. S. .; SILVA, L. V. B. .; ZANUTO, B. S. .; GONDIN, M. B. .; DAGUER, J. R. .; LOBO, N. S. .; CARPANEZI, A. L. T. S. . Acute appendicitis in pregnancy: an integrative review. Research, Society and Development, [S. l.], v. 12, n. 3, p. e25012340716, 2023. DOI: 10.33448/rsd-v12i3.40716. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/40716. Acesso em: 26 apr. 2024.

Issue

Vol. 12 No. 3

Section

Health Sciences

License

Copyright (c) 2023 Thiago Silva Zanuto; Laura Vilela Buiatte Silva; Bruno Silva Zanuto; Milena Bavaresco Gondin; Julia Resende Daguer; Nayara Silva Lobo; Ana Luísa Tano Sanches Carpanezi

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.