EARLY APPENDECTOMY DURING PREGNANCY

Abstract

Background: Appendectomy for presumed acute appendicitis is the most common surgical emergency during pregnancy, acute appendicitis  occurs at  the  same  rate  in pregnant  and non pregnant women, but pregnant women have a higher rate of perforation.  Patients &methods: This  prospective   study   done 42 pregnant  women between age 20  to 41 years all  of  them were complained   from signs and  symptoms of acute appendicitis arrived  ER  of  Al Hussain  teaching   hospital  in  AL Nassyria  during   period 2010  either came directly or referred from gynecologist ,they underwent   appendectomy early after diagnosis . Results: Most of  patients  succeeded  pregnancy  38 patients (90.4%)  { in spite of 3 patient (7%) have threatened  abortion anther  3 patients have  preterm  uterine  contraction but they  continue  of pregnancy  successively},only  4  patient (9.5%)   end   with  abortion.Most  of  women [21patients  (50%)]  complained from acute appendicitis  during second   trimester .Most of patients who did not delay operation  till 48 hours can pass pregnancy successfly with some problems  , while who delayed more liable to abortion [4 of 10 patient (40%)]  . Aim: reduce fetal loss after appendectomy during  pregnancy. Conclusion: we advices early operation in pregnancy   with  out   delay, no place for conservative management in acute appendicitis .