Evaluation and outcome Of Laparoscopic Surgery in Pregnant patients with Acute Abdomen | ||
| Al-Azhar International Medical Journal | ||
| Volume 2024, Issue 8, August 2024 | ||
| DOI: 10.58675/2682-339X.2621 | ||
| Authors | ||
| Osama Elqattan; Fawzy Moustafa; Ahmed Ali | ||
| Department of General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||
| Abstract | ||
| Background: Surgical complications such as Appendicitis, acute cholecystitis, and small bowel obstruction are among the many pathologies that can cause abdominal pain during pregnancy. Aim and objective: To evaluate the safety, priority, and complications of laparoscopic surgery in pregnant females. Patients and methods: This prospective clinical trial includes 53 patients selected from attendees of General Surgery clinics of Al-Azhar University Hospitals. Samples were collected using a random systematic method. Results: There was no conversion to laparotomy in all cases and no complications in 47, but there was prolonged paralytic ileus in 2 and wound infection in 4 patients. Operation time ranged from 30 to 48, and the fetal heart rate was normal in each case, postoperative analgesia duration ranged from 1 to 2 days. The hospital stay ranged from 2 to 6 days. Pregnancy outcomes showed that only one case had an abortion, while pregnancy was preterm in 3 patients and term in 49 patients. As regards delivery, 22 patients had cesarean section, while 31 had vaginal delivery, no neonate was admitted to the NICU, and APGAR 1 min was 8 in 6 neonates, 9 in 28 and 10 in 19 and APGAR 5 min was 9 in 6 and 10 in 47. Conclusion: Laparoscopic procedures are safe and effective for managing acute surgical emergencies in pregnant women, with low complication rates, no conversions, and minimal adverse effects on fetal wellbeing. Experienced surgeons can ensure excellent neonatal outcomes. | ||
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