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SURGICAL CONDITIONS IN PREGNANCY

ACUTE SURGICAL CONDITIONS incidence is approximately 1 in 500 pregnancies generally manage acute surgical condition regardless of  p...


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ACUTE SURGICAL CONDITIONS

  1. incidence is approximately 1 in 500
  2. pregnancies generally manage acute surgical condition regardless of  pregnancy pregnancy
  3. substantially increases complications associated with surgery
  4. EX:
    • acute appendicitis
    • acute cholecystitis
    • acute pancreatitis
    • abdominal trauma
    • torsion of the uterine adnexa
    • pelvic abcess
    • peptic ulcer disease
    • bowel obstruction
    • intracranial hemorrhage
    • thromboembolic disease


NON-EMERGENCY SURGICAL CONDITIONS

  1. surgery in first trimester has highest risk of teratogenicity and spontaneous abortion 
  2. surgery for nonemergent conditions usually delayed until the more stable second trimester
  3. EX :
    • adnexal tumours
    • cervical cancer
    • breast cancer
    • gastrointestinal trauma
    • melanoma, osteosarcoma