Ganjiyeva Munisa Komil qizi (1)
Appendectomy is the most common non-obstetric surgical procedure performed during pregnancy, and suture-related complications can significantly impact both maternal and fetal outcomes. Effective closure of the abdominal wall, fascia, and appendix stump is crucial to prevent postoperative complications such as wound dehiscence, infection, adhesions, and hernia formation. This article explores technical challenges, physiological factors of pregnancy influencing suture integrity, and evidence-based approaches to optimize surgical outcomes. Changes in maternal anatomy, increased intra-abdominal pressure, and hormonal modulation of connective tissue elasticity contribute to altered wound healing and suture tension. Selection of appropriate suture material, technique, and timing is critical. The review highlights clinical data on absorbable versus non-absorbable sutures, continuous versus interrupted methods, and minimally invasive approaches. Early recognition and management of suture-related complications reduce morbidity, prevent adverse fetal outcomes, and support maternal recovery. Appendectomy is the most frequently performed non-obstetric surgery during pregnancy, and suture-related complications can significantly impact both maternal recovery and fetal outcomes. Pregnancy introduces physiological changes, including increased intra-abdominal pressure, hormonal modulation of connective tissue elasticity, and altered tissue perfusion, all of which affect wound healing and suture integrity. Common complications include wound dehiscence, fascial disruption, postoperative infection, adhesion formation, and incisional hernia. This article examines the incidence, risk factors, and clinical consequences of suture-related problems in pregnant patients undergoing appendectomy, emphasizing preventive strategies and surgical techniques tailored to gestational physiology. Evidence indicates that careful selection of suture material, appropriate closure methods, and minimally invasive approaches reduce postoperative morbidity, enhance maternal recovery, and protect fetal health. Early recognition and management of suture-related issues are critical to ensuring favorable outcomes.
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