Surgical Emergencies in Pregnancy - A Retrospective Analysis of Six Surgical Departments and Review of Literature.

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2025-04-01 DOI:10.21614/chirurgia.3024
Octavian Andronic, Laura Stănescu, Tamaş Talpai, Răzvan Albu, Amalia Voinea, Tibiana Negru, Cătălin Alexandru Pîrvu, Stelian Pantea, Alin Mihai Vasilescu, Costel Bradea, Cristian Lupascu, Cosma Cătălin, Alexandru Szanto, Călin Molnar, Daniel Preda, Emil Moraru, Ştefan Paitici, Ştefania Tudorache, Valeriu Şurlin, Nikolaos Zygouropoulos, Bogdan Socea, Mihai Dimitriu, Alexandru Carâp, Dan Nicolae Păduraru, Ion Daniel, Alexandra Bolocan
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引用次数: 0

Abstract

Background: Surgical emergencies during pregnancy, although rare, present critical challenges for medical professionals, requiring a careful balance between the immediate needs of the mother and the potential risks to the fetus. Material and Methods: This retrospective multicentric study evaluates the diagnostic characteristics and management strategies for non-obstetric acute abdomen in pregnant women admitted to general surgery departments across six clinics in Romania from 2017 to 2022. Results: The study analyzed 70 cases, focusing on diagnostic processes, management approaches, and outcomes. Findings revealed that while surgical intervention was predominant, conservative management was also significant. Acute appendicitis and acute cholecystitis were the most common emergencies. Conclusions: The study highlights the necessity of a nuanced approach in diagnosis and tailored anesthetic management to ensure favorable outcomes, emphasizing the importance of timely intervention and the need for further research to develop standardized guidelines.

妊娠外科急诊——六个外科的回顾性分析及文献复习。
背景:妊娠期间的外科急诊虽然罕见,但对医疗专业人员提出了严峻的挑战,需要在母亲的直接需求和胎儿的潜在风险之间取得仔细的平衡。材料和方法:本回顾性多中心研究评估了2017年至2022年罗马尼亚6家诊所普通外科收治的孕妇非产科急腹症的诊断特征和管理策略。结果:本研究分析了70例病例,重点分析了诊断过程、管理方法和结果。结果显示,虽然手术治疗占主导地位,但保守治疗也很重要。急性阑尾炎和急性胆囊炎是最常见的急症。结论:该研究强调了采用细致入微的诊断方法和量身定制的麻醉管理以确保良好结果的必要性,强调了及时干预的重要性以及进一步研究制定标准化指南的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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