| Title |
Magnetic resonance imaging reduces the rate of unnecessary operations in pregnant patients with suspected acute appendicitis: a retrospective study / |
| Authors |
Lukėnaitė, Beatričė ; Lukšaitė-Lukštė, Raminta ; Mikalauskas, Saulius ; Samuilis, Artūras ; Strupas, Kęstutis ; Poškus, Tomas |
| DOI |
10.4174/astr.2021.100.1.40 |
| Full Text |
|
| Is Part of |
Annals of surgical treatment and research.. Seoul : Korean Surgical Society. 2021, vol. 100, no. 1, p. 40-46.. ISSN 2288-6575. eISSN 2288-6796 |
| Keywords [eng] |
appendicitis ; diagnostic imaging ; magnetic resonance imaging ; pregnancy |
| Abstract [eng] |
Purpose: This is a retrospective single-institution study performed to compare the rate of unnecessary operations in pregnant women with suspected acute appendicitis with and without the use of MRI. Methods: The study subjects were all pregnant women with suspected acute appendicitis admitted to a tertiary institution from January 2012 to December 2019. If acute appendicitis was not excluded clinically and by ultrasound (US), laparoscopies were performed until May 2017 (US-only group). MRI was added as a diagnostic tool when US was inconclusive from May 2017 (US + MRI group). Surgery was considered unnecessary when no inflamed appendix was found. The rate of unnecessary surgery, postoperative complications, length of stay were analyzed. Results: Seventy-six women were included in the study; 38 women in the US-only group and 38 women in the US + MRI group. There were no differences in admission characteristics between the groups. One of 38 women (2.6%) underwent unnecessary surgery in the US + MRI group vs. 10 of 38 (26.3%) in the US-only group (P = 0.007). The patients in the US + MRI group were significantly less likely to undergo a diagnostic operation than in the US-only group (5.26% vs. 55.3%, respectively; P < 0.001) and their hospital stay was significantly shorter (0.74 ± 1.64 days vs. 3.7 ± 3.0 days, respectively; P < 0.001). The obstetric outcomes were not different between the groups. MRI had a sensitivity of 83.3% and specificity of 100% in the series. Conclusion: The rate of unnecessary surgery was significantly reduced in pregnant women, who underwent MRI after inconclusive transabdominal US. |
| Published |
Seoul : Korean Surgical Society |
| Type |
Journal article |
| Language |
English |
| Publication date |
2021 |
| CC license |
|
