Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Vujic, J; Marsoner, K; Lipp-Pump, AH; Klaritsch, P; Mischinger, HJ; Kornprat, P.
Non-obstetric surgery during pregnancy - an eleven-year retrospective analysis.
BMC Pregnancy Childbirth. 2019; 19(1):382
Doi: 10.1186/s12884-019-2554-6
[OPEN ACCESS]
Web of Science
PubMed
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Kornprat Peter
- Co-Autor*innen der Med Uni Graz
- Klaritsch Philipp
- Lipp-Pump Antonia Hanna
- Marsoner Katharina
- Mischinger Hans-Jörg
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- BACKGROUND: Diagnosis and management of non-obstetric abdominal pathologies during pregnancy are clinically challenging for both obstetricians and general surgeons. Our aim was to evaluate the outcome of pregnant patients who had undergone non-obstetric abdominal surgery. METHODS: We retrospectively reviewed 76 pregnant patients who had required surgery for non-obstetric abdominal pathologies during pregnancy at our department from January 2005 to December 2015. Data were collected retrospectively from medical records as well as from our institutional perinatal database. We evaluated data for clinical presentation, perioperative management, preterm labor, and maternal and fetal outcomes. RESULTS: The patients' mean age was 29 (interquartile range IQR 25-33) years. Indications for surgery were acute appendicitis in 63%, adnexal pathology in 11%, cholecystolithiasis in 5% and other indications in 21%; surgery was performed in an elective setting in 18% and in an emergent/urgent setting in 82%. In five cases, complications, three of them oncological, called for further surgery. Ninety-seven percent of operations were conducted under general anesthesia. Median skin-to-skin time was 50 (37-80) minutes, median in-hospital stay was 4 (3.5-6) days, and 5 % required postoperative intensive care. Preterm labor occurred in 15%, miscarriage in 7% (none of them directly related to abdominal surgery). CONCLUSION: Abdominal surgery for non-obstetric pathology during pregnancy can be performed safely, if mandatory, without increases in maternal and fetal pathology, miscarriage, and preterm birth rates.
- Find related publications in this database (using NLM MeSH Indexing)
- Abdomen - surgery
- Abortion, Spontaneous - etiology
- Acute Disease - administration & dosage
- Adnexal Diseases - surgery
- Adult - administration & dosage
- Appendicitis - surgery
- Cholecystolithiasis - surgery
- Female - administration & dosage
- Humans - administration & dosage
- Pregnancy - administration & dosage
- Pregnancy Complications - surgery
- Pregnancy Outcome - administration & dosage
- Premature Birth - etiology
- Prenatal Care - methods, statistics & numerical data
- Retrospective Studies - administration & dosage
- Treatment Outcome - administration & dosage
- Find related publications in this database (Keywords)
- Nonobstetric surgery
- Pregnancy
- Appendicitis
- Cholecystitis
- Obstetrics