Rate of negative appendectomy in pregnant women in Benin City, Nigeria

Agholor, Kingsley; Omo‐Aghoja, Lawrence; Okonofua, Friday

doi:10.1111/j.1447-0756.2011.01572.x

Cited by 10 publications

(15 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most previous cross-sectional studies have attempted to identify clinical features and postoperative maternal and fetal outcomes and/or described the best diagnostic tools and surgical treatments for acute appendicitis, using data collected on few patients from single centers, [8][9][10][11][12][13][14][15]19,20 with only 3 previous studies using national registers. [16][17][18] The rate of acute appendicitis reported during the antepartum period in our study (6.3 per 10,000 person-years) was between that reported in 2 prior population-based studies (2.4 and 9.25 per 10,000 person-years).…”

Section: Comparison With Previous Studiesmentioning

confidence: 99%

“…7 Current estimates of the incidence of acute appendicitis in pregnancy are inconsistent and vary widely ranging from 1.8 to 41 per 10,000 pregnancies. [8][9][10][11][12][13][14][15][16][17][18] In particular, the trimester of pregnancy during which a woman is at highest risk of acute appendicitis and the extent to which age affects these risks are poorly understood. [8][9][10][11][12][13][14][15][16][17][18] In addition, there is no population-based study to date reporting the incidence rates of acute appendicitis during the postpartum period.…”

mentioning

confidence: 99%

“…Finally, the reported negative appendectomy rate in pregnancy varies considerably among studies from 5% to 50%. [8][9][10][11][12][13][14][15][16][17][18][19][20] A better understanding of the risk of acute appendicitis in and around pregnancy will aid clinicians in assessing the risk of acute appendicitis within each period. Therefore, we have carried out a large, population-based cohort study to determine the rate of acute appendicitis in the antepartum and postpartum periods and compared it with the rate outside pregnancy among women of childbearing age.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Risk of Acute Appendicitis in and Around Pregnancy

et al. 2015

View full text Add to dashboard Cite

show abstract

Section: Comparison With Previous Studiesmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Risk of Acute Appendicitis in and Around Pregnancy

et al. 2015

View full text Add to dashboard Cite

show abstract

“…However, it has been reported that this approach could result in a negative appendectomy in 11% to 50% of cases. While negative appendectomy is acceptable to a certain extent, it is also unclear whether negative appendectomy or complicated appendicitis may be associated with unfavorable fetal and pregnancy outcomes (11,12).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis, Management and Clinicopathological Features of Acute Appendicitis in Pregnant Women and Its Impact on Fetal Outcomes

Şenocak¹,

Çelik²,

Kaymak³

2020

J Istanb Fac Med

View full text Add to dashboard Cite

Çalışmanın amacı gebe kadınlarda görülen apandisitin tanı ve tedavi stratejileri ile klinikopatolojik özellikleri ve feto-maternal sonuçlarını değerlendirmektir. Gereç ve Yöntem: Bu çalışmada apendektomi yapılan 17 gebe kadın ve yaşları eşleştirilmiş 59 gebe olmayan kadın laboratuvar bulguları, preoperatif ultrasonografi (USG), patoloji ve klinik sonuçlar açısından karşılaştırıldı. Bulgular: Toplam USG tarama sayısı, görüntülenemeyen apandis oranları ve hastanede kalış süreleri gebe kadınlarda gebe olmayan kadınlara göre daha fazla idi (sırasıyla p<0,001, p=0,035 ve p=0,014). Gebe grupta negatif apendektomi oranı gebe olmayanlara göre 1,5 kat, komplike apandisit oranı ise 7 kat daha yüksekti. USG'nin tanısal doğruluğu ise gebe olmayan grupta daha yüksek bulundu (%72,9'a karşı %64,7). Hematolojik parametreler açısından apandisit olan ve olmayan gebe hastalar arasında anlamlı bir fark bulunmadı. İkinci trimesterde bir erken doğum ve bir abortus görülürken, üçüncü trimesterde bir hastada negatif apendektomiyi takiben bir erken doğum gerçekleşti. Sonuç: Gebelik sırasında laboratuvar parametreleri ve USG ile konulan apandisit tanısı hatalı olabilmektedir. Bu yüzden, gereksiz cerrahi müdahalelerden kaçınmak için, klinisyenlerin hamilelik sırasında apandisitten şüphelendikleri durumlarda ek görüntüleme tetkikleri yapmayı düşünmelerini öneririz. Çünkü hem negatif apendektomi hem de komplike apandisit, ihmal edilemez bir fetal morbidite ve mortalite oranıyla sonuçlanabilir.

show abstract

“…5 However, a recent study reported that higher rates of adverse obstetric outcomes were observed amongst pregnant women with negative appendectomy. 6 Ultrasonography (USG) is a non-invasive and inexpensive test, which does not expose the patient to radiation, and is reported to have sensitivity and specificity of 86 and 81% for the diagnosis of acute appendicitis, respectively. 7 The major disadvantage of USG is its operator dependent character.…”

Section: Introductionmentioning

confidence: 99%

The diagnosis of acute appendicitis in pregnant versus non-pregnant women: A comparative study

Aras

Karaman

Pekşen

et al. 2016

Rev. Assoc. Med. Bras.

View full text Add to dashboard Cite

ArAs A et Al. 622rev assoC med bras 2016; 62(7):622-627 ORIGINAL ARTICLEThe diagnosis of acute appendicitis in pregnant versus non-pregnant women: A comparative study Objective: To investigate whether the diagnosis of acute appendicitis is affected by pregnancy or not. Method: A retrospective study with the analysis of the medical records of all women suspected of having appendicitis who underwent appendectomy at our hospital between June 2010 and March 2015 were reviewed. The patients were divided into two groups according to whether they were pregnant or not during the surgery: group I, pregnant women, and group II, non-pregnant women.Results: During the study period, 38 pregnant women and 169 non-pregnant women underwent appendectomy. The time from admission to the operation was not statistically different (2.17±1.47 days in group I vs. 1.98±1.66 day in group II; p=0.288). The pregnant group had longer hospital stay than the nonpregnant group (p=0.04). Ultrasonography (USG) was used as the first diagnostic modality in 36/38 patients in group I and 161/169 in group II. The non-visualized appendix on ultrasound was seen in 17 patients in group I and 51 patients in group II, which was not statistically different. Sensitivity and specificity of USG in diagnosis of acute appendicitis were 61.29 and 80.00% in group I, and 93.0 and 31.6% in group II, respectively. Conclusion: Although the diagnosis of appendicitis in pregnant women is not delayed, careful assessment of these patients suspected of having appendicitis should be encouraged when USG examination is normal or nondiagnostic.

show abstract

Rate of negative appendectomy in pregnant women in Benin City, Nigeria

Abstract: While a higher index of suspicion among clinicians will ensure earlier diagnosis and improve the associated maternal and fetal prognosis, the need to reduce the negative laparotomy rate is highlighted by the high rate of adverse obstetric outcomes amongst the negative appendectomy group.

Cited by 10 publications

References 23 publications

Risk of Acute Appendicitis in and Around Pregnancy

Risk of Acute Appendicitis in and Around Pregnancy

Diagnosis, Management and Clinicopathological Features of Acute Appendicitis in Pregnant Women and Its Impact on Fetal Outcomes

The diagnosis of acute appendicitis in pregnant versus non-pregnant women: A comparative study

Contact Info

Product

Resources

About