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Gaceta Médica Boliviana
Print version ISSN 1012-2966On-line version ISSN 2227-3662
Abstract
GUZMAN B., Prudencio; HEREDIA, Rodrigo; NINO DE GUZMAN, Oscar and VERDUGUEZ, Nancy. COLECISTITIS AGUDA EN EL EMBARAZO. Gac Med Bol [online]. 2005, vol.28, n.2, pp.42-49. ISSN 1012-2966.
The investigation was made in the Hospital Obrero Na2 of CNS in the period of january 1999 - december 2004. There where 6700 deliveries of which 22 (0,32%) correspond to acute colecistitis. The objective of this investigation goes directed to acknowledge and recommend that the surgical treatment (cholecistectomy)in the pregnant women. Should be differed until after delivery. This situation due to the fact that use physiologic process of pregnancy can be influenced by surgical procedures, increasing mobility and mortality, as documented in foreign publications . Variables such as patients age, pregnancy stage, number of pregnancy, sings and symptoms, medical treatment that includes antispasmodic drugs,antibiotics, H2 bloquers, anesthesia type, laparoscopy surgery or laparatomy. According to our results, only 4 of 22 (18%) patients went under surgery during pregnancy, 7(32%) were differed due to medical treatment until delayed post partum one patient had surgery after a year and one after 2 year.4 still are pregnant and the rest did not attended to programmed surgeries.
Keywords : acute cholecystitis; pregnant; laparoscopic surgery.