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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
CHAVEZ-SAAVEDRA, Gerardo et al. Gallbladder stones during pregnancy: are we doing the right thing in Mexico?. Cir. cir. [online]. 2023, vol.91, n.6, pp.804-809. Epub Jan 30, 2024. ISSN 2444-054X. https://doi.org/10.24875/ciru.22000633.
Objective:
To present the treatment of choice and approach in pregnant and postpartum women with a diagnosis of gallstones in Mexico and to compare it with the recommendations of international guidelines.
Method:
Observational, descriptive, and retrospective study based on information from the 2019 Dynamic Cubes database of pregnant women diagnosed with cholecystitis and/or cholelithiasis who had undergone cholecystectomy.
Results:
During 2019, 937 patients with cholelithiasis and cholecystitis were registered, 516 (55%) pregnant and 421 (45%) in puerperium. 91.47% of cases were managed with medical treatment and 8.53% with cholecystectomy, with predominance in the open approach in 63.75% of cases. Mortality was nil in both groups.
Conclusions:
Despite current international guidelines recommending early laparoscopic cholecystectomy in pregnant or puerperal women, in Mexico medical treatment, delayed cholecystectomy and its open approach are still privileged.
Keywords : Cholelithiasis in pregnancy; Cholecystitis in pregnancy; Cholecystectomy in pregnancy; Laparoscopic cholecystectomy in pregnancy; Abdominal pain in pregnancy.
