Navigation Links
Pregnant women at risk for unnecessary operations due to misdiagnosis of appendicitis
Date:10/24/2007

CHICAGO (October 24, 2007) New research published in the October issue of the Journal of the American College of Surgeons suggests that pregnant women suspected of having appendicitis are often misdiagnosed and undergo unnecessary appendectomies (removal of the appendix) that can result in early delivery or loss of the fetus. The study points to the need to require more accurate diagnosis to avoid unnecessary operations and the potential for fetal loss.

Appendicitis is difficult to diagnose in pregnant women, with signs and symptoms that are similar to those of pregnancy itself. Consequently, surgeons have historically taken an aggressive approach to the treatment of suspected appendicitis in pregnant women in order to reduce the risk and possible consequences of a ruptured appendix.

Our study shows that the complication rate in pregnant women who undergo a negative appendectomy is nearly identical to those who suffer a ruptured appendix, said Marcia L. McGory, MD, David Geffen School of Medicine, University of California at Los Angeles. This finding argues for a change in the basic approach to the treatment of suspected appendicitis in pregnant women. One potential straightforward solution is to use more advanced imaging tools, such as ultrasound and magnetic resonance imaging, to increase diagnostic accuracy.

This report presents findings from the largest study ever conducted to evaluate outcomes after appendectomy in pregnant women. Using data from a large, population-based database, this retrospective analysis included 94,789 women who underwent open or laparoscopic appendectomy, 3,133 of whom were pregnant. International Classification of Diseases Clinical Modification (ICD-CM) diagnosis codes were used to identify the presence of complicated (ruptured) or simple appendicitis.

The rate of negative appendectomy (defined as an appendectomy without a diagnosis of simple or complicated appendicitis) was significantly higher in pregnant women (23 percent versus 18 percent, p<0.05) than in non-pregnant women.

Overall, fetal loss or early delivery occurred in 11 percent of the 3,133 patients. Although the fetal loss rate was highest in patients undergoing appendectomy for complicated appendicitis (6 percent), it was still pronounced in patients undergoing appendectomy for a normal appendix (4 percent) and patients with simple appendicitis (2 percent). Appendectomy resulted in early delivery in 11 percent of patients with complicated appendicitis, 10 percent with a normal appendix and 4 percent with simple appendicitis.

The study also found that fetal loss rate after laparoscopic appendectomy in pregnant patients was significantly higher than that for open appendectomy (7 percent versus 3 percent, p<0.05). Laparoscopic appendectomy is sometimes performed because it is thought to be less invasive/traumatic for a pregnant patient.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related biology news :

1. Pregnant women at higher risk for HIV, Uganda study finds
2. Screen all at risk for HIV, plus pregnant women
3. 100 percent of pregnant women have at least one kind of pesticide in their placenta
4. HIV and malaria combine to adversely affect pregnant women and their infants
5. Pregnant moms exposure to flu vaccine kick-starts fetal immune system
6. Male circumcision reduces risk of HIV transmission from women to men
7. Variation in womens X chromosomes may explain differences among individuals, between sexes
8. Of mice and mens (and womens) contraceptives
9. Survey reveals women and doctors arent talking about HPV
10. Men Estimate Mens Risks Of Common Disorders Higher Than Women Do, And Vice Versa
11. Higher risk for cervical cancer seen among women infected with multiple HPV types
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/20/2016)... June 20, 2016 Securus Technologies, a ... solutions for public safety, investigation, corrections and monitoring ... involved, it has secured the final acceptance by ... for Managed Access Systems (MAS) installed. Furthermore, Securus ... to be installed by October, 2016. MAS distinguishes ...
(Date:6/9/2016)... -- Paris Police Prefecture ... to ensure the safety of people and operations in several ... tournament Teleste, an international technology group specialised in ... that its video security solution will be utilised by ... safety across the country. The system roll-out is scheduled for ...
(Date:6/2/2016)... The Weather Company , an IBM Business (NYSE: IBM ... which consumers will be able to interact with IBM Watson ... or text and receive relevant information about the product or ... long sought an advertising solution that can create a one-to-one ... valuable; and can scale across millions of interactions and touchpoints. ...
Breaking Biology News(10 mins):
(Date:6/27/2016)... 27, 2016   Ginkgo Bioworks , a leading ... was today awarded as one of the World ... world,s most innovative companies. Ginkgo Bioworks is engineering ... real world in the nutrition, health and consumer ... with customers including Fortune 500 companies to design ...
(Date:6/23/2016)... ... June 23, 2016 , ... Mosio, a ... eBook, “Clinical Trials Patient Recruitment and Retention Tips.” Partnering with experienced clinical research ... by providing practical tips, tools, and strategies for clinical researchers. , “The landscape ...
(Date:6/23/2016)... Houston Methodist Willowbrook Hospital has signed ... to serve as their official health care provider. ... will provide sponsorship support, athletic training services, and ... volunteers, athletes and families. "We are ... and to bring Houston Methodist quality services and ...
(Date:6/23/2016)... ... June 23, 2016 , ... Supplyframe, the Industry Network ... Supplyframe Design Lab . Located in Pasadena, Calif., the Design Lab’s mission is ... projects are designed, built and brought to market. , The Design Lab is ...
Breaking Biology Technology: