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Noticias médicas
Publicado el 25 de julio de 2001
Cirugía y Embarazo
Cirugía en la mujer embarazada
El embarazo es la única condición fisiológica que se trata en el medio ambiente hospitalario y es sabido que durante el mismo puede ser necesario realizar operaciones tanto por complicaciones inherentes al mismo, como por otras patologías que intercurren.
Entre estas últimas se destacan la apendicitis aguda (1 cada 1500-6600 casos), la colecistitis aguda (0.05 a 0.16%), la obstrucción intestinal (1 cada 1500 a 66.000 casos), el cáncer de mama (3 cada 10.000) y los traumatismos (7% de los embarazos).
Con la finalidad de obtener un resultado satisfactorio en esas operaciones es necesario tener presente los cambios metabólicos de la mujer embarazada, las modificaciones hemodinámicas y respiratorias, las alteraciones del mecanismo de la coagulación y la posibilidad teratogénica del primer trimestre