Revisión de los protocolos sobre abdomen agudo quirúrgico no obstétrico en el embarazo.

Autores/as

DOI:

https://doi.org/10.56048/MQR20225.7.3.2023.3254-3281

Palabras clave:

Abdomen Agudo Ginecológico, Complicaciones, Embarazo, Factores de riesgo, Protocolo

Resumen

Introducción: Durante el embarazo, la mujer puede presentar patología quirúrgica no ginecológica, misma que se asocia con elevada morbimortalidad por cada hora en el retraso diagnóstico, en la actualidad no existe suficientes protocolos dirigidos para cada patología quirúrgica en el embarazo, situación que a largo plazo afecta el adecuado manejo de la patología abdominal quirúrgica en la mujer embarazada. Metodología: Es un estudio de revisión bibliográfica tipo narrativa, una revisión amplia de la literatura, sobre los protocolos sobre agudo quirúrgico no obstétrico en el embarazo en bases de datos científicas, como Pub Med, Scielo, Biblioteca Cochrane, y Science Direct, mediante parte de la estrategia PRISMA.

Resultados: Se revisaron 50 estudios, que recopilaron las principales recomendaciones sobre los protocolos sobre agudo quirúrgico no obstétrico en el embarazo 

Conclusiones: la patología abdominal quirúrgica no obstétrica en la mujer embarazada es un tema de relevancia, puesto que se asocia con elevada morbimortalidad, en la actualidad a pesar de que no se cuenta con protocolos específicos para el manejo de cada patología en el embarazo, por lo que es importante poder realizarlos para disminuir el tiempo de retraso y, por lo tanto, las complicaciones en la mujer embarazada.

Descargas

Los datos de descargas todavía no están disponibles.

Métricas

Cargando métricas ...

    Cited

    DOI: 10.56048DOI

Biografía del autor/a

Anabel Jamileth Chacón-Flores, UNIVERSIDAD CATÓLICA DE CUENCA

Egresado

Juan Pablo Muñoz-Cajilima, UNIVERSIDAD CATÓLICA DE CUENCA

Tutor del área

Citas

HU, L., Sandoval Vargas, J., Hernández Sánchez, A., & Vargas Mora, J. (2019). Embarazo ectópico. Revista Clínica de la Escuela de Medicina UCR-HSJD, 9(1), 28-36.

Lang, J. H. (2022). [Gynecologic Acute Abdomen]. Zhonghua Fu Chan Ke Za Zhi, 57(3), 161-163. https://doi.org/10.3760/cma.j.cn112141-20211220-00739

Fernández, M. A. C., Comesaña, E. D., Rodríguez, F. J. G., Freire, M. N. B., González, P. P., Martínez, L. L., & López, F. F. (2020). Abdomen agudo quirúrgico. Medicine - Programa de Formación Médica Continuada Acreditado, 13(10), 523-540. https://doi.org/10.1016/j.med.2020.06.001

Ortiz, F. E., Santarelli, L., Perurena, R., & Sliwinsky, R. (1982). Abdomen agudo quirurgico no ginecologico en la embarazada. Rev. argent. cir, 247-254.

Quesada, M. F. S., Coreas, T. R., & González, M. C. (2023). Apendicitis aguda en el embarazo: Desafío quirúrgico. Revista Medica Sinergia, 8(5), Art. 5. https://doi.org/10.31434/rms.v8i5.1040

Carvajal Camacho, D., Durán Méndez, M. J., & Sanchún Chacón, M. (2022). Abdomen agudo: Etiologías comunes en el embarazo. Revista Medica Sinergia, 7(1), e751. https://doi.org/10.31434/rms.v7i1.751

Pacheco Perez, F & Cortéz Cuaresma, G (2021). Proceso de atención de enfermería a paciente con embarazo ectópico y abdomen agudo, del servicio de emergencia de ginecobstetricia de un hospital de Lima, 2021.

Zachariah, S. K., Fenn, M., Jacob, K., Arthungal, S. A., & Zachariah, S. A. (2019). Management of acute abdomen in pregnancy: Current perspectives. International Journal of Women’s Health, 11, 119-134. https://doi.org/10.2147/IJWH.S151501

Rosendorf, J., Liška, V., Pálek, R., & Třeška, V. (2020). Acute abdomen in pregnancy: A retrospective study of pregnant patients hospitalised for abdominal pain. Rozhledy V Chirurgii: Mesicnik Ceskoslovenske Chirurgicke Spolecnosti, 99(3), 131-135. https://doi.org/10.33699/PIS.2020.99.3.131-135

Lie, G., Eleti, S., Chan, D., Roshen, M., Cross, S., & Qureshi, M. (2022). Imaging the acute abdomen in pregnancy: A radiological decision-making tool and the role of MRI. Clinical Radiology, 77(9), 639-649. https://doi.org/10.1016/j.crad.2022.05.021

Tanrıdan Okcu, N., Banlı Cesur, İ., & İrkörücü, O. (2021). Acute appendicitis in pregnancy: 50 case series, maternal and neonatal outcomes. Ulusal Travma ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES, 27(2), 255-259. https://doi.org/10.14744/tjtes.2020.24747

Nishikawa, S., Miki, M., Chigusa, Y., Furuta, M., Kido, A., Kawamura, Y., Ueda, Y., Mandai, M., & Mogami, H. (2023). Obstetric pelvimetry by three-dimensional computed tomography in non-pregnant Japanese women: A retrospective single-center study. The Journal of Maternal-Fetal & Neonatal Medicine, 36(1), 2190444. https://doi.org/10.1080/14767058.2023.2190444

Nepal, P., VanBuren, W., Khandelwal, K., Mileto, A., Potrezke, T., & Khandelwal, A. (2021). Problem-solving with MRI in acute abdominopelvic conditions, part 2: Gynecological, obstetric, vascular, and renal diseases. Emergency Radiology, 28(6), 1173-1183. https://doi.org/10.1007/s10140-021-01961-y

Şahin, B., Tinelli, A., & Augustin, G. (2022). Are Cesarean Section and Appendectomy in Pregnancy and Puerperium Interrelated? A Cohort Study. Frontiers in Surgery, 9. https://www.frontiersin.org/articles/10.3389/fsurg.2022.819418

Peksöz, R., Dişçi, E., Kaya, A., Ağırman, E., Korkut, E., Aksungur, N., Altundaş, N., Kara, S., & Atamanalp, S. S. (2022). Significance of laboratory parameters in diagnosing acute appendicitis during pregnancy. ANZ Journal of Surgery, 92(1-2), 121-127. https://doi.org/10.1111/ans.17443

Dos Anjos Siqueira, I., Murugappan, S., Howat, P., & Khalid, A. (2021). Posterior uterine rupture in early first trimester. BMJ Case Reports, 14(12), e244801. https://doi.org/10.1136/bcr-2021-244801

Buckley, B., Delaney, F., Welaratne, I., Windrim, C., Geoghegan, T., & Cronin, C. (2023). MRI remains highly accurate in the diagnosis of appendicitis in pregnancy when read by radiologists of mixed specialty training and experience. Emergency Radiology, 30(1), 85-91. https://doi.org/10.1007/s10140-022-02102-9

Gostigian, A. (2020). Acute abdominal pain in the first trimester of pregnancy. JAAPA, 33(8), 19. https://doi.org/10.1097/01.JAA.0000668812.89805.86

Yavuz, Y., Sentürk, M., Gümüş, T., & Patmano, M. (2021). Acute appendicitis in pregnancy. Ulusal Travma ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES, 27(1), 85-88. https://doi.org/10.14744/tjtes.2020.22792

Kyhl, L. K., & Løkkegaard, E. K. L. (2021). [Appendicitis in late pregnancy]. Ugeskrift for Laeger, 183(17), V10200789.

Vasileiou, G., Eid, A. I., Qian, S., Pust, G. D., Rattan, R., Namias, N., Larentzakis, A., Kaafarani, H. M. A., Yeh, D. D., & EAST Appendicitis Study Group. (2020). Appendicitis in Pregnancy: A Post-Hoc Analysis of an EAST Multicenter Study. Surgical Infections, 21(3), 205-211. https://doi.org/10.1089/sur.2019.102

Moltubak, E., Landerholm, K., Blomberg, M., Redéen, S., & Andersson, R. E. (2020). Major Variation in the Incidence of Appendicitis Before, During and After Pregnancy: A Population-Based Cohort Study. World Journal of Surgery, 44(8), 2601-2608. https://doi.org/10.1007/s00268-020-05524-z

Augustin, G., Mikuš, M., Bogdanic, B., Barcot, O., Herman, M., Goldštajn, M. Š., Tropea, A., & Vitale, S. G. (2022). A novel Appendicitis TriMOdal prediction Score (ATMOS) for acute appendicitis in pregnancy: A retrospective observational study. Updates in Surgery, 74(6), 1933-1941. https://doi.org/10.1007/s13304-022-01368-5

Choi, Y. S., Seo, J. H., Yi, J. W., Choe, Y.-M., Heo, Y. S., & Choi, S. K. (2023). Clinical Characteristics of Acute Appendicitis in Pregnancy: 10-Year Experience at a Single Institution in South Korea. Journal of Clinical Medicine, 12(9), 3277. https://doi.org/10.3390/jcm12093277

Mukherjee, R., & Samanta, S. (2019). Surgical emergencies in pregnancy in the era of modern diagnostics and treatment. Taiwanese Journal of Obstetrics & Gynecology, 58(2), 177-182. https://doi.org/10.1016/j.tjog.2019.01.001

Yang, J., Wen, S. W., Krewski, D., Corsi, D. J., Walker, M., Mattison, D., Moog, R., McNair, D., Huang, H., & Zhuang, G. (2021). Association of treatments for acute appendicitis with pregnancy outcomes in the United States from 2000 to 2016: Results from a multi-level analysis. PloS One, 16(12), e0260991. https://doi.org/10.1371/journal.pone.0260991

Nakashima, M., Takeuchi, M., & Kawakami, K. (2021). Clinical Outcomes of Acute Appendicitis During Pregnancy: Conservative Management and Appendectomy. World Journal of Surgery, 45(6), 1717-1724. https://doi.org/10.1007/s00268-021-06010-w

Tavakoli, A., Wadensweiler, P., Blumenthal, E., Kuncir, E., Houshyar, R., & Brueseke, T. (2020). Medical management of appendicitis in early-term pregnancy. BMJ Case Reports, 13(8), e234252. https://doi.org/10.1136/bcr-2020-234252

Zeng, Q., Aierken, A., Gu, S.-S., Yao, G., Apaer, S., Anweier, N., Wu, J., Zhao, J.-M., Li, T., & Tuxun, T. (2021). Laparoscopic Versus Open Appendectomy for Appendicitis in Pregnancy: Systematic Review and Meta-Analysis. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 31(5), 637-644. https://doi.org/10.1097/SLE.0000000000000943

Hata, T., Hayashi, N., Urabe, S., Hayashi, K., Nakagawa, T., Michiura, T., & Yamabe, K. (2020). Reduced-port laparoscopic appendectomy for acute appendicitis in pregnancy. Journal of Surgical Case Reports, 2020(6), rjaa097. https://doi.org/10.1093/jscr/rjaa097

Sazhin, A. V., Kirienko, A. I., Kurtser, M. A., Konoplyannikov, A. G., Panin, A. V., Son, D. A., & Shulyak, G. D. (2019). [Acute appendicitis during pregnancy]. Khirurgiia, 1, 70-77. https://doi.org/10.17116/hirurgia201901170

Hess, E., Thumbadoo, R. P., Thorne, E., & McNamee, K. (2021). Gallstones in pregnancy. British Journal of Hospital Medicine (London, England: 2005), 82(2), 1-8. https://doi.org/10.12968/hmed.2020.0330

Gutt, C., Schläfer, S., & Lammert, F. (2020). The Treatment of Gallstone Disease. Deutsches Arzteblatt International, 117(9), 148-158. https://doi.org/10.3238/arztebl.2020.0148

Celaj, S., & Kourkoumpetis, T. (2021). Gallstones in Pregnancy. JAMA, 325(23), 2410. https://doi.org/10.1001/jama.2021.4502

Chung, A. Y.-A., & Duke, M. C. (2018). Acute Biliary Disease. The Surgical Clinics of North America, 98(5), 877-894. https://doi.org/10.1016/j.suc.2018.05.003

Bowie, J. M., Calvo, R. Y., Bansal, V., Wessels, L. E., Butler, W. J., Sise, C. B., Shaw, J. G., & Sise, M. J. (2020). Association of complicated gallstone disease in pregnancy and adverse birth outcomes. American Journal of Surgery, 220(3), 745-750. https://doi.org/10.1016/j.amjsurg.2020.01.038

Schwulst, S. J., & Son, M. (2020). Management of Gallstone Disease During Pregnancy. JAMA Surgery, 155(12), 1162-1163. https://doi.org/10.1001/jamasurg.2020.3683

Bass, R. B., & Teitelbaum, E. N. (2022). Novel advances in surgery for Gallstone Disease. Current Gastroenterology Reports, 24(7), 89-98. https://doi.org/10.1007/s11894-022-00844-7

Arbuzova, S., Nikolenko, M., Wright, D., & Cuckle, H. (2023). Cholelithiasis is an additional pre-pregnancy clinical risk factor for preeclampsia. Archives of Gynecology and Obstetrics. https://doi.org/10.1007/s00404-023-06936-7

Mądro, A. (2022). Pancreatitis in Pregnancy-Comprehensive Review. International Journal of Environmental Research and Public Health, 19(23), 16179. https://doi.org/10.3390/ijerph192316179

Bougard, M., Barbier, L., Godart, B., Le Bayon-Bréard, A.-G., Marques, F., & Salamé, E. (2019). Management of biliary acute pancreatitis. Journal of Visceral Surgery, 156(2), 113-125. https://doi.org/10.1016/j.jviscsurg.2018.08.002

Maringhini, A., Dardanoni, G., Fantaci, G., Patti, R., & Maringhini, M. (2021). Acute Pancreatitis During and After Pregnancy: Incidence, Risk Factors, and Prognosis. Digestive Diseases and Sciences, 66(9), 3164-3170. https://doi.org/10.1007/s10620-020-06608-5

Kitai, T., Yamabe, E., Isobe, A., Masuhara, K., Fukunaga, M., & Nobunaga, T. (2020). Successful Laparoscopic Treatment of Small-bowel Obstruction in Early Pregnancy. Gynecology and Minimally Invasive Therapy, 9(4), 248-250. https://doi.org/10.4103/GMIT.GMIT_99_19

Robertson, R., & Wu, L. (2020). Adhesive small bowel obstruction in pregnancy and the use of oral contrast media: A case report. Journal of Surgical Case Reports, 2020(3), rjaa018. https://doi.org/10.1093/jscr/rjaa018

Chuang, M. T., & Chen, T. S. (2021). Bowel obstruction and perforation during pregnancy: Case report and literature review. Taiwanese Journal of Obstetrics & Gynecology, 60(5), 927-930. https://doi.org/10.1016/j.tjog.2021.07.027

Rosen, C., Czuzoj-Shulman, N., Mishkin, D. S., & Abenhaim, H. A. (2020). Pregnancy outcomes among women with peptic ulcer disease. Journal of Perinatal Medicine, 48(3), 209-216. https://doi.org/10.1515/jpm-2019-0344

Jidha, T. D., Umer, K. M., Beressa, G., & Tolossa, T. (2022). Perforated duodenal ulcer in the third trimester of pregnancy, with survival of both the mother and neonate, in Ethiopia: A case report. Journal of Medical Case Reports, 16(1), 322. https://doi.org/10.1186/s13256-022-03562-w

Morgan, K., Rees, C. D., Shahait, M., Craighead, C., Connelly, Z. M., Ahmed, M. E., & Khater, N. (2022). Urolithiasis in pregnancy: Advances in imaging modalities and evaluation of current trends in endourological approaches. Actas Urologicas Espanolas, 46(5), 259-267. https://doi.org/10.1016/j.acuroe.2022.03.005

Salehi-Pourmehr, H., Tayebi, S., DalirAkbari, N., Ghabousian, A., Tahmasbi, F., Rahmati, F., Naseri, A., Hajebrahimi, R., Mehdipour, R., Hemmati-Ghavshough, M., Mostafaei, A., & Hajebrahimi, S. (2023). Management of urolithiasis in pregnancy: A systematic review and meta-analysis. Scandinavian Journal of Surgery: SJS: Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 112(2), 105-116. https://doi.org/10.1177/14574969221145774

Dai, J. C., Nicholson, T. M., Chang, H. C., Desai, A. C., Sweet, R. M., Harper, J. D., & Sorensen, M. D. (2021). Nephrolithiasis in Pregnancy: Treating for Two. Urology, 151, 44-53. https://doi.org/10.1016/j.urology.2020.06.097

Mercier, A. M., Caldwell, M. G., Rabie, N. Z., Pagan, M., Ramseyer, A. M., & Magann, E. F. (2022). Spontaneous Uterine Vessel Rupture During Pregnancy or in the Puerperium: A Review of the Literature. Obstetrical & Gynecological Survey, 77(4), 227-233. https://doi.org/10.1097/OGX.0000000000001012

Kave, M., Parooie, F., & Salarzaei, M. (2019). Pregnancy and appendicitis: A systematic review and meta-analysis on the clinical use of MRI in diagnosis of appendicitis in pregnant women. World Journal of Emergency Surgery, 14(1), 37. https://doi.org/10.1186/s13017-019-0254-1

Eng, K. A., Abadeh, A., Ligocki, C., Lee, Y. K., Moineddin, R., Adams-Webber, T., Schuh, S., & Doria, A. S. (2018). Acute Appendicitis: A Meta-Analysis of the Diagnostic Accuracy of US, CT, and MRI as Second-Line Imaging Tests after an Initial US. Radiology, 288(3), 717-727. https://doi.org/10.1148/radiol.2018180318

Cheng, V., Matsushima, K., Sandhu, K., Ashbrook, M., Matsuo, K., Inaba, K., & Demetriades, D. (2021). Surgical trends in the management of acute cholecystitis during pregnancy. Surgical Endoscopy, 35(10), 5752-5759. https://doi.org/10.1007/s00464-020-08054-w

Barut, B., Gönültaş, F., Gök, A. F. K., & Şahin, T. T. (2019). Management of Acute Cholecystitis During Pregnancy: A Single Center Experience. Ulusal Travma ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery: TJTES, 25(2), 154-158. https://doi.org/10.5505/tjtes.2018.82357

Rountis, A., Dimitroulis, D., & Nikiteas, N. (2022). Laparoscopic appendectomy vs open appendectomy during pregnancy: A systematic re-view. Hippokratia, 26(1), 1-6.

Zhang, T., Wang, G., Cao, Z., Huang, W., Xiao, H., Wei, H., Lu, J., Liu, R., & Yin, C. (2022). Acute pancreatitis in pregnancy: A 10-year, multi-center, retrospective study in Beijing. BMC Pregnancy and Childbirth, 22(1), 414. https://doi.org/10.1186/s12884-022-04742-8

Haiyan, Z., Na, P., Yong, G., Xiumei, B., & Jianying, B. (2022). Impact of acute pancreatitis during pregnancy in Chinese women: A meta-analysis. Journal of Obstetrics and Gynaecology, 42(7), 2879-2887. https://doi.org/10.1080/01443615.2022.2110462

Publicado

2023-08-30

Cómo citar

Chacón-Flores, A. J., & Muñoz-Cajilima, J. P. (2023). Revisión de los protocolos sobre abdomen agudo quirúrgico no obstétrico en el embarazo. MQRInvestigar, 7(3), 3254–3281. https://doi.org/10.56048/MQR20225.7.3.2023.3254-3281