Epidemiological panel of pregnant patients undergoing appendectomy at a reference center in the Amazon from january 2015 to october 2021
DOI:
https://doi.org/10.33448/rsd-v13i7.45985Keywords:
Appendicitis; Pregnant women; Diagnosis.Abstract
Objective: To describe an epidemiological panel of pregnant women surgically approached due to acute appendicitis in a reference hospital in the Amazon between January 2015 and October 2021. Methodology: An observational, retrospective and descriptive study was carried out, using data from medical records of pregnant patients who underwent appendicectomies at the FSCMPA during the proposed period. Data analysis: It was performed using the BioEstat 5.0 program, the G test was used to compare categories and the significance value for analysis was less than 5% (5% alpha). Result: A study with 30 pregnant women who underwent appendectomy in Belém-Pará between March 2015 and October 2021 revealed that the majority were between 21 and 30 years old and were in the 2nd trimester of pregnancy. About 46.7% had a positive histological diagnosis for appendicitis, with ultrasonography being the most requested test (56.7%). The average length of stay was 10 days, with no significant association with exams or histological diagnosis, but there was a relationship with gestational age. The request for imaging tests was associated with the presence of fever. Final considerations: The study analyzed appendicitis in pregnant women in the Amazon, with similar results to other studies. He highlighted complications in the third trimester, correlation between fever and imaging tests, and low rate of misdiagnosis. In addition, it pointed out problems in the records of local hospitals.
References
Arer, İ. M., Alemdaroğlu, S., Yeşilağaç, H., & Yabanoğlu, H. (2016). Acute appendicitis during pregnancy: Case series of 20 pregnant women. Ulus Travma Acil Cerrahi Derg, 22, 545-548.
Aptilon Duque, G., & Mohney, S. (2021). Appendicitis in pregnancy. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK532961/
Awayshih, M. M. A., Nofal, M. N., & Yousef, A. J. (2019). Evaluation of Alvarado score in diagnosing acute appendicitis. Pan African Medical Journal, 34, 15. https://doi.org/10.11604/pamj.2019.34.15.17803
Baer, J. L., Reis, R. A., & Araens, R. A. (1932). Appendicitis in pregnancy with changes in position and axis of the normal appendix in pregnancy. JAMA, 98, 1359-1364.
Basaran, A., & Basaran, M. (2009). Diagnosis of acute appendicitis during pregnancy: A systematic review. Obstetrics & Gynecology Survey, 64, 481-499.
Başkıran, A., İnce, V., Çiçek, E., Şahin, T., Dirican, A., & Balıkçı Çiçek, İ., et al. (2018). Efficacy of laboratory tests and ultrasonography in the diagnosis of acute appendicitis in gravid patients according to the stages of pregnancy. Ulus Travma Acil Cerrahi Derg, 24, 333-336.
Brown, J. J., Wilson, C., Coleman, S., & Joypaul, B. V. (2009). Appendicitis in pregnancy: An ongoing diagnostic dilemma. Colorectal Disease, 11(2), 116-122.
Chen, C. Y., Chen, Y. C., Pu, H. N., Tsai, C. H., Chen, W. T., & Lin, C. H. (2012). Bacteriology of acute appendicitis and its implication for the use of prophylactic antibiotics. Surgical Infections, 13(6), 383-390. https://doi.org/10.1089/sur.2011.135
Estrela, C. (2018). Metodologia científica: Ciência, ensino, pesquisa. Editora Artes Médicas.
Flexer, S. M., Tabib, N., & Peter, M. B. (2014). Suspected appendicitis in pregnancy. Surgeon, 12, 82-86.
Franca Neto, A. H. de ., Amorim, M. M. R. do ., & Nóbrega, B. M. S. V.. (2015). Acute appendicitis in pregnancy: literature review. Revista Da Associação Médica Brasileira, 61(2), 170–177. https://doi.org/10.1590/1806-9282.61.02.170
House, J. B., Bourne, C. L., Seymour, H. M., & Brewer, K. L. (2014). Location of the appendix in the gravid patient. Journal of Emergency Medicine, 46(5), 741-744. https://doi.org/10.1016/j.jemermed.2013.09.033
Khan, M. S., Chaudhry, M. B. H., Shahzad, N., Tariq, M., Memon, W. A., & Alvi, A. R. (2018). Risk of appendicitis in patients with incidentally discovered appendicoliths. Journal of Surgical Research, 221, 84-87.
Korndorffer, J. R., Jr., Fellinger, E., & Reed, W. (2010). SAGES guideline for laparoscopic appendectomy. Surgical Endoscopy, 24(4), 757-761. https://doi.org/10.1007/s00464-009-0632-y
Lima, A. P., Vieira, F. J., Oliveira, G. P. M., Ramos, O. S., Avelino, M. E., Prado, F. G., et al. (2016). Perfil clínico-epidemiológico da apendicite aguda: Análise retrospectiva de 638 casos. Revista do Colégio Brasileiro de Cirurgiões, 43(4), 248-253.
McGory, M. L., Zingmond, D. S., Tillou, A., Hiatt, J. R., Ko, C. Y., & Cryer, H. M. (2007). Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. Journal of the American College of Surgeons, 205(4), 534-540. https://doi.org/10.1016/j.jamcollsurg.2007.05.025
Pates, J. A., Avendiano, T. C., Zaretsky, M. V., McIntire, D. D., & Twickler, D. M. (2009). The appendix in pregnancy: Confirming historical observations with a contemporary modality. Obstetrics & Gynecology, 114(4), 805-808. https://doi.org/10.1097/AOG.0b013e3181b6f6cc
Sand, M., Bechara, F. G., Holland-Letz, T., Sand, D., Mehnert, G., & Mann, B. (2009). Diagnostic value of hyperbilirubinemia as a predictive factor for appendiceal perforation in acute appendicitis. American Journal of Surgery, 198(2), 193-198. https://doi.org/10.1016/j.amjsurg.2008.08.026
Vasileiou, G., Eid, A. I., Qian, S., Pust, G. D., Rattan, R., Namias, N., et al. (2020). Appendicitis in pregnancy: A post-hoc analysis of an EAST multicenter study. Surgical Infections, 21(3), 205-211. https://doi.org/10.1089/sur.2019.102
Wray, C. J., Kao, L. S., Millas, S. G., Tsao, K., & Ko, T. C. (2013). Acute appendicitis: Controversies in diagnosis and management. Current Problems in Surgery, 50(2), 54-86. https://doi.org/10.1067/j.cpsurg.2012.10.001
Yavuz, Y., Sentürk, M., Gümüş, T., & Patmano, M. (2021). Acute appendicitis in pregnancy. Ulus Travma Acil Cerrahi Derg, 27(1), 85-88. https://doi.org/10.14744/tjtes.2020.22792
Yazar, F. M., Bakacak, M., Emre, A., Urfalıoglu, A., Serin, S., Cengiz, E., & Bülbüloglu, E. (2015). Predictive role of neutrophil-to-lymphocyte and platelet-to-lymphocyte ratios for diagnosis of acute appendicitis during pregnancy. Kaohsiung Journal of Medical Sciences, 31(11), 591-596. https://doi.org/10.1016/j.kjms.2015.10.005
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