Analysis of 190 Female Patients after Appendectomy.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2021-11-27 eCollection Date: 2021-01-01 DOI:10.1155/2021/8036970

Abdulrahman M Alotaibi, Leena H Moshref, Rana H Moshref, Lina S Felemban

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引用次数: 2

Abstract

This study is a retrospective cohort review carried out at a single, private tertiary center. We included 190 female patients who underwent surgery for acute appendicitis between January 2016 and December 2018. Two groups of patients were analyzed based on the pregnancy. The main outcome measures were complication rate and risk of abortion during or after surgery. Out of 190 female patients, eight of them were pregnant (4.2%). The pregnant group more significantly underwent ultrasound investigation compared to the nonpregnant group. Complicated appendicitis present in two pregnant patients at advanced gestational age was not statistically significant from nonpregnant. Laparoscopic appendectomy was performed in 6/8 (75%) of pregnant compared to 158/182 (87%) in nonpregnant (p = 0.415). Compared to the nonpregnant, the pregnant group has a more fecolith, positive peritoneal fluid culture, and wound infection, with E. coli more frequently isolated in 25%. None of the pregnant patients had an abortion, preterm labor, or mortality during or after surgery. In conclusion, laparoscopic appendectomy is a low-risk operation for pregnant with acute appendicitis.

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女性阑尾切除术后190例分析。

本研究是在一所私立高等教育中心进行的回顾性队列研究。我们纳入了2016年1月至2018年12月期间接受急性阑尾炎手术的190名女性患者。根据妊娠情况对两组患者进行分析。主要观察指标为手术中或术后并发症发生率和流产风险。190名女性患者中，有8人怀孕(4.2%)。与未怀孕组相比，怀孕组接受超声检查的程度更高。并发症阑尾炎出现在两个怀孕患者在孕龄较未怀孕没有统计学意义。6/8(75%)孕妇行腹腔镜阑尾切除术，158/182(87%)非孕妇行腹腔镜阑尾切除术(p = 0.415)。与未怀孕组相比，怀孕组有更多的粪粪、腹膜液培养阳性和伤口感染，大肠杆菌的分离率为25%。所有怀孕患者均未发生流产、早产或手术期间或手术后死亡。总之，腹腔镜阑尾切除术是治疗急性阑尾炎孕妇的低风险手术。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.