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OB: Appendicitis In PregnancyFrom: art fougner, md (evsono@pipeline.com)Thu Jul 29 07:13:44 2004
http://www.obgyn.net/newsheadlines/womens_health-Obstetrics-20040729-111.asp Study analyzes results of suspected acute appendicitis cases during pregnancy Obstetrics July 29, 2004 2004 JUL 29 - (NewsRx.com & NewsRx.net) -- There's no good time to come down with appendicitis, but during pregnancy certainly ranks at the top of bad timing. According to a report from Germany, "Acute appendicitis during pregnancy is a rare event, and large numbers of cases reported in the literature stem entirely from data stored in national registers. Between 1974 and 2000 relevant perioperative data on the treatment of appendicitis were collected consecutively and analyzed retrospectively. Surgical and obstetric data relating to the medical history, the clinical, intraoperative, and histologic findings, and the course of the pregnancy were recorded." T. Ueberrueck and colleagues at Carl Thiem Hospital, Cottbus, Germany, calculated that 0.2% of appendectomies performed during this period (94/9793) were in pregnant women "(24.5% during the first trimester, 51% during the second trimester, and 24.5% during the third trimester)." "Fifty percent of the case histories during the second trimester were atypical," the researchers said. "The overall perforation rate was 14.9%; it was 8.7%, 12.5%, and 26.1% during the three trimesters, respectively. Maternal mortality was 0%; the combined miscarriage/abortion rate was 8.5% (n=8); and infant mortality was 3.2% (n=3). The postoperative spontaneous abortion rate was 13.0% and the additional therapeutic/requested abortion rate 21.7% during the first trimester," study data showed. Ueberrueck and fellow surgeons concluded that "[i]In view of the elevated postoperative abortion rate and the facility of the clinical diagnosis during the first trimester, the indication for invasive diagnostic measures and surgery requires careful consideration. During the second and third trimesters the difficulty of establishing a clinical diagnosis makes it necessary to undertake exploratory surgery early." Ueberrueck and coauthors published their study in World Journal of Surgery (Ninety-four appendectomies for suspected acute appendicitis during pregnancy. World J Surgery, 2004;28(5):508-511). For more information, contact T. Ueberrueck, Carl Thiem Hospital, Dept. of Surgery, Thiemstr 111, D-03048 Cottbus, Germany. Publisher contact information for the World Journal of Surgery is: Springer-Verlag, 175 Fifth Avenue, New York, NY 10010 USA. The information in this article comes under the major subject areas of Obstetrics, Appendicitis, Gastroenterology, Appendectomy, Risk Factors. This article was prepared by Women's Health Weekly editors from staff and other reports. Copyright 2004, Women's Health Weekly via NewsRx.com & NewsRx.net. ©Copyright 2004, Managed Care Weekly Digest via NewsRx.com & NewsRx.net art
-- art fougner, md ich bin ein New Yorker
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