Ultrasound screening of acute appendicitis in pregnant women

Authors

  • M. M. Stets O. Bohomolets National Medical University, Kyiv
  • N. V. Voytyuk O. Bohomolets National Medical University, Kyiv
  • V. M. Chernenko O. Bohomolets National Medical University, Kyiv
  • V. V. Finochko O. Bohomolets National Medical University, Kyiv

DOI:

https://doi.org/10.11603/2414-4533.2021.4.12725

Keywords:

acute appendicitis, ultrasound screening, pregnant women, laparoscopy, analysis of methods

Abstract

The aim of the work: prevention of premature births by improving diagnostic methods using ultrasound screening and the choice of surgical tactics in pregnant women with acute surgical pathology depending on the results of screening.

Mrterials and Methods. A retrospective review of medical cases and outpatient charts of patients with suspected acute surgical pathology of the abdominal cavity was conducted in the Kyiv City Clinical Hospital No. 1 from 2016 to 2021.

Results and Discussion. All pregnant women underwent the necessary clinical, laboratory and instrumental research methods in accordance with the updated clinical protocols for the provision of surgical care to pregnant women. In some cases, magnetic resonance ima­ging and computed tomography were performed to detail the spread of the pathological process and, accordingly, the choice of surgical intervention.

Features of the clinical picture of AA are due to anatomical and physiological features of pregnant women. With increasing gestational age, we observed a more pronounced change in the clinical manifestations of AA with a more rapid course of the disease. Indicators of laboratory researches have a certain value in diagnosis of AA in pregnant women. Leukocytosis, neutrophilic shift of the leukocyte formula to the left, lymphocytopenia indicate in favor of appendicitis.

Tocolytic therapy has been used both in preoperative preparation and intraoperatively, which significantly affects the prevention of premature birth and pregnancy complications.

Postoperative complications were not observed in this population.

Detailing the diagnosis in pregnant women with acute surgical pathology using the latest diagnostic methods, gave the opportunity to choose tactics and methodology of surgical treatment. Ultrasound scanning is highly sensitive and specific in 71 % of pregnant women with acute appendicitis.

The introduction of minimally invasive methods has made it possible to reduce the number of pregnant women in the hospital and their use in the third trimester of pregnancy (8 % of the total number of operated).

References

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Published

2022-02-18

How to Cite

Stets, M. M., Voytyuk, N. V., Chernenko, V. M., & Finochko, V. V. (2022). Ultrasound screening of acute appendicitis in pregnant women. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 95–98. https://doi.org/10.11603/2414-4533.2021.4.12725

Issue

No. 4 (2021)

Section

EXPERIENCE OF WORK

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