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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is published monthly.

Editor-in-Chief

 

Effectiveness of the laparoscopic appendectomy on second half of the pregnancy (p.2179-85)

Effectiveness of the laparoscopic appendectomy on second half of the pregnancy (p.2179-85)

Mehmet Aziret, Yesim Akdeniz, Kerem Karaman, Fatih Altintoprak, Cengiz Karacaer, Baris Mantoglu, Yasin Alper Yildiz, Metin Ercan
Department of General Surgery, Sakarya University Education and Research Hospital, Sakarya, Turkey

Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Although the debate regarding fetal loss and preterm delivery continues, the use of laparoscopic appendectomy (LA) to treat pregnant women has gained legitimacy owing to the advantages it brings, such as less uterine manipulation, less postoperative pain, and an early return to normal daily activity. This present study aims to compare the impact of LA on women in early and late gestation periods with regard to surgical outcomes.
Material and Methods: After scanning the files of 4,295 cases, 29 patients who underwent LA for acute appendicitis during pregnancy were enrolled in the study and were assessed retrospectively. The patients were divided into two groups: women with a gestation period less than 20 weeks (group 1; n=19) and those over 20 weeks (group 2; n=10). Data from these two groups, including patient perioperative characteristics and morbidity, were compared.
Results: The results showed no statistical difference between the two groups. No statistically significant difference was detected in terms of mean age, body mass index, length of hospital stay, operation time or median ASA score (p > 0.05). Moreover, mean INR (International normalized ratio), hemoglobin, hematocrit, white blood cell count, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, red cell distribution width, platelet distribution width and histopathological examination of the appendicitis revealed no statistical difference between the two groups (p > 0.05). Most importantly, comparison of surgical site infection (6.8%), intra-peritoneal collection (3.4%), fetal distress and preterm delivery rate (6.8%), and abortus imminens (3.4%) also showed no significant difference (P > 0.05). In this study, no fetal loss was recorded.
Conclusion: The results of present study suggest that LA for acute appendicitis in pregnant women can be performed safely during the second half of pregnancy.

Keywords: Acute appendicitis; laparoscopic appendectomy; pregnancy 

 

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doi: 10.5455/annalsmedres.2020.01.041 

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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