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Is appendectomy necessary during cesarean section?

Author: 
Yavuz Pirhan, Necmi Kurt, Osman Fadıl Kara
Subject Area: 
Health Sciences
Abstract: 

Objective: Acute appendicitis is the disease most frequently requiring non-obstetric surgical intervention during pregnancy. It is a condition threatening both mother and fetus lives and the prevalence in pregnant and non-pregnant women is identical, it is 0.1 % - 0.2 %. The aim of this study is to investigate the approach for acute appendicitis in patients who underwent appendectomy during follow-up of pregnancy by retrospective data of last nine years. Materials and Methods: Data of 19 pregnant patients who underwent appendectomy during their pregnancy between January 2006 and November 2015 were retrospectively examined. Patients were evaluated with respect to age, age of pregnancy, clinical and laboratory signs, imaging results, surgical signs, postoperative complications, and pathological results. Results: At their admission, 63.1% of cases were at trimester 3, 21% were at trimester 2, and 33.3% were at trimester 1. In 19 patients, appendectomy was decided and performed during cesarean. Pathological results in 54.5% of these patients reported acute appendicitis. In pregnant cases with appendectomy, 10 patients (52.6%) had acute appendicitis, while 9 patients (47.3%) had normal appendix. Conclusion: We consider that in case of edema and hyperemia detected by visualizing appendix during cesarean, appendectomy must be performed.

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