Mehmet İbrahim HARMA, Görker SEL, Müge HARMA, Yusuf GÜNAY

The role of general surgery in consultations of pregnants from obstetrics and gynaecology department

Aim: According to the current literature, the most common non-obstetric indications requiring surgery during pregnancy areappendicitis, biliary diseases, adnexal pathologies such as torsion or neoplasm, trauma, breast-related diseases and bowelobstruction. In this study, we sought to investigate the factors that may increase the risk for general surgery interventions inpregnants.Material and Methods: We reviewed of all cases of pregnants that consulted to general surgery in May 2012-July 2018. 74 pregnantswere consulted to general surgery for various reasons. Of those patients, 41 (55.4%) of them required medical and surgicalintervention, while 33 (44.6%) had conservative treatment. Patients were divided into two groups as general surgery intervention(GSI) and no need to medical and surgical intervention, just observation was enough (non-GSI).Results: The rate of urgent intervention (UI) was (9 out of 41) 22% in SI. Of the 9 pregnants, 8 (88.9%) had acute appendicitis. Theother one is acute cholecystitis. The mean WBC was statistically higher in SI group than non-SI (13.568±3.892 vs 10.665±3.184,p=0.0008). Addition to this late pregnancies are more likely to be in GSI group.Conclusion: According to our study results, late periods of pregnancy may increase risk for requiring GSI in pregnants and UI, as well.Also elevated WBC values should alert the physician about general surgery intervention requirement.

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