Diseases With Indication For Surgery During Pregnancy

Large surgical, especially intra-abdominal, procedures increase the risk of preterm labor and fetal death. Surgical intervention, however well tolerated by the pregnant woman and the fetus if for adequate supportive care and anesthesia (to be kept in blood pressure and oxygen saturation in the normal range) is taken care of, so doctors surgery over should not be restrained. delay the treatment of an abdominal emergency, is much more dangerous.

Certain operatively treated diseases can be difficult to diagnose during pregnancy. There must be a high degree of suspicion; it is a mistake to assume that all abdominal symptoms are gestational. Large surgical, especially intra-abdominal, procedures increase the risk of preterm labor and fetal death. Surgical intervention, however well tolerated by the pregnant woman and the fetus if for adequate supportive care and anesthesia (to be kept in blood pressure and oxygen saturation in the normal range) is taken care of, so doctors surgery over should not be restrained. delay the treatment of an abdominal emergency, is much more dangerous. A appendicitis appendicitis sometimes occurs during pregnancy, but is now more often after birth before. Because the appendix with progression of pregnancy in the abdomen rises, pain and tenderness are not localized in classical point in the right lower quadrant; the pain can be light and spasmodically and mimic pregnancy-related symptoms. Normally during pregnancy, the number of white blood cells is slightly increased, which makes a blood less useful than usual. Ongoing clinical assessment and ultrasound are useful measures. Because the diagnosis is often made delayed, the mortality rate increased especially post partum in a ruptured appendix in pregnancy and. Therefore, a surgical clarification (laparoscopy or laparotomy, depending on the stage of pregnancy) must be sought for suspected appendicitis without delay. Benign ovarian cysts These cysts are common in pregnancy. Cysts that occur during the first 14 to 16 week of pregnancy are often corpus luteum cysts disappear spontaneously. It can be used to handle rotation of adnexal come (adnexal torsion). If the adnexal torsion persists, surgical treatment for unwinding the adnexa or removal may be required. After 12 weeks, the cysts are difficult to palpate because the ovaries to rise along with the uterus out of the pelvis. Ovarian tumors are first assessed by sonography (benign ovarian tumors). The final evaluation (. Eg excision) is possible delayed until after the 14th week of pregnancy, except in the following situations: The cyst increases continuously. The cyst is pressure sensitive. The cyst shows radiological characteristics of a malignant tumor (eg. As solid components, growths on the surface, size> 6 cm, irregular shape) gallbladder disease, the disease occurs only occasionally in pregnancy. If possible should be treated expectantly; if the condition of the patient does not improve, surgery is necessary ileus An ileus during pregnancy can be a Darmgangrän with peritonitis and maternal or fetal morbidity or mortality cause. If pregnant symptoms or signs of ileus and related risk factors (eg. As previous abdominal surgery, intra-abdominal infection), an immediate exploratory laparotomy is indicated.

Health Life Media Team

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