Document Detail

Laparotomy during pregnancy: an assessment of diagnostic accuracy and fetal wastage.
MedLine Citation:
PMID:  4720768     Owner:  NLM     Status:  MEDLINE    
In a series of 48,482 pregnancies laparotomy was undertaken 74 times for conditions not associated with pregnancy (1 in 655 pregnancies). It showed no abnormality in 26 cases; ovarian cysts and acute appendicitis were the commonest pathological findings. The preoperative diagnosis was proved correct in 53% of cases, and in 66.2% laparotomy proved to be necessary for an alternative diagnosis.The fetal loss rate after surgery was 23%. Spontaneous abortion was more likely in the presence of peritonitis, with fluid in the peritoneal cavity, or when operative procedures involving the ovary were performed within the first trimester. The risk of precipitating labour following diagnostic laparotomy is negligible, provided no unnecessary surgical manoeuvres are undertaken.
P Saunders; P J Milton
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British medical journal     Volume:  3     ISSN:  0007-1447     ISO Abbreviation:  Br Med J     Publication Date:  1973 Jul 
Date Detail:
Created Date:  1973-10-02     Completed Date:  1973-10-02     Revised Date:  2010-10-26    
Medline Journal Info:
Nlm Unique ID:  0372673     Medline TA:  Br Med J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  165-7     Citation Subset:  AIM; IM    
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MeSH Terms
Abortion, Spontaneous / etiology*
Appendicitis / diagnosis
Diagnosis, Differential
Fetal Death / etiology
Gestational Age
Laparotomy* / adverse effects
Ovarian Cysts / diagnosis
Peritonitis / diagnosis
Pregnancy Complications / diagnosis*,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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