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Information Journal Paper

Title

COMPARISON OF PRE AND POST DIAGNOSIS OF EMERGENCY LAPAROTOMIES IN PREGNANT WOMEN

Pages

 Start Page 85 | End Page 90

Abstract

 Pregnancy is considered as a critical period of womans life. Laparotomy is one of the accidents that could occur during this period In a preceded by acute abdomen, ECTOPIC PREGNANCY, torsion of OVARIAN CYST, all of which may result in abortion, premature labor and teratogenicity secondary to anesthesia.Comparison of pre and post surgury diagnosis, and pathological diagnosis in pregnant women who have undergone laparotomy could help in the prevalence of APPENDICITIS, ectopic pregnaney etc. Paraclinicaltools can help in the diagnosis of these diseases and help in overcoming the complications due to surgical delay in thes a patients.This study is discriptive and cross- sectional. During the 1997 to 2002 in Imam-Hossein hospital 5480 births took place. 103 of the patients underwent abdominal exploration. The chief complaint of patients was extracted from their files, also pre and post diagnosis surgery and pathological diagnosis were extracted.90 cases had ectopic pregnany , 6 APPENDICITIS, 6 torsion of ovarion cyst and I case had trauma. In all cases the cheif complaint was acute ABDOMINAL PAIN. Pathological diagnosis is all cases, exept one, is compatible with presurgical diagnosis as APPENDICITIS.In ectopic pregnancies 97.5% post surgical diagnosis was compatible with pathological diagnosis.Diagnosis of appendicities is performed clinically and paraclinical investigationsare of little help.In diagnosis of ECTOPIC PREGNANCY special ultrasonography is more helpfull.

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