A Comparative Study of Iraqi Women to Evaluate The Health Outcomes of Appendectomy in Pregnant Women

Dr. Asif  Mohammed Ibraheem; Dr. Hatim  Mahmood Hasan; Dr. Ahmed  Johnny Mnati

doi:10.17605/cajmns.v6i2.2740

Dr. Asif Mohammed Ibraheem Lecturer At the University of Baghdad Al-Kindy College of Medicine, Department of Surgery, Baghdad, Iraq
Dr. Hatim Mahmood Hasan Iraqi Ministry of Health, Al-Russafa Health Directorate, Al-Kindy Teaching Hospital, Baghdad, Iraq
Dr. Ahmed Johnny Mnati Iraqi Ministry of Health, Al-Russafa Health Directorate, Al-Kindy Teaching Hospital, Baghdad, Iraq

DOI: https://doi.org/10.17605/cajmns.v6i2.2740

Keywords: LA, Pregnancy, Open surgery, Apgar score, Appendectomy, Patients, QOL

Abstract

The present study sought to identify the negative effects on pregnant patients and those suffering from appendicitis who underwent appendectomy. Furthermore, the quality of life of the participants was evaluated in order to ascertain any statistical differences in Iraq during the period spanning from 2022 to May 2024. The cases encompassed 110 patients diagnosed with acute appendicitis who received treatment across multiple hospitals in Iraq during the period spanning from 2022 to May 2024. The participants in the study ranged in age from 18 to 40 years, with a mean age of (27.15 ± 4.28) years in the control group and from 20 to 50 years in the laparoscopic appendectomy group, with a mean age of (29.28 ± 3.45) years. A statistical analysis was conducted to ascertain whether there was a significant difference in the baseline data between the two groups (P > 0.05), and this indicated that the two groups were comparable. Regarding newborns, the following data is collected: weight (g) ± 200.93. The data presented in Table 4 provides a comprehensive overview of the outcomes observed in patients undergoing laparoscopic appendectomy (Operating time (min): 40-80 min; length of postoperative stay (days): 3-6 days) and open surgery (50-80 min; 5-8 days). The newborn data set includes weight (g) of 3400 ± 200.93, gestational age (d) of 280.1 ± 9.8, Apgar score < 7 at 5 minutes for patients 10, and pH of umbilical cord < 7.15 for patients 4. The data set from the open group shows a weight of 3100.3 ± 199, gestational age (d) of 277 ± 7.9, and Apgar score < 7 at 5 minutes for 17 patients. In cases where surgical intervention is deemed necessary, laparoscopic appendectomy is recommended for pregnant patients. Laparoscopy is considered to be both technically safe and feasible during pregnancy when performed by a laparoscopic expert.

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