Laparoscopic Appendectomy is a Safe and Beneficial Procedure in Pregnant Women

Jeong, Jun-Soo; Ryu, Dong Hee; Yun, Hyo Yung; Jeong, Eun-Hwan; Choi, Jung Do; Jang, Lee-Chan

doi:10.1097/sle.0b013e3182051e44

Cited by 18 publications

(15 citation statements)

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“…Unfortunately, fetal outcomes were not captured within the NSQIP database. The use of laparoscopy throughout all trimesters has not always been widely accepted [12][13][14], but in numerous [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The first described case of laparoscopic appendectomy was performed during the 8th week of pregnancy, followed thereafter with a 1990 case series of six patients averaging 16.3 weeks of gestation; each had no reported complications.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients

et al. 2015

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“…3,[51][52][53][54][55][56][57][58][59][60][61][62] Although long-term data on the safety and efficacy of laparoscopic appendectomy during pregnancy are limited, meta-analyzes of observational studies, including a total of more than 500 laparoscopic appendectomies, have shown an increase in the fetal loss rate with this approach, when compared with open appendectomy. 63,64 In a 2012 meta-analysis (11 studies, 3,415 women, 599 in the laparoscopic and 2,816 in the open group), the total relative risk of fetal loss for laparoscopic appendectomy against open surgery in pregnant women was OR 1.91, 95% CI 1.31 to 2.77%. 64 The largest of the studies included demonstrated that fetal loss rates in the laparoscopic and open surgery groups were 7.3 and 3.3%, respectively.…”

mentioning

confidence: 99%

Acute appendicitis in pregnancy: literature review

Neto

Amorim²,

Nóbrega³

2015

Rev. Assoc. Med. Bras.

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Conflict of interest: noneIntroduction: suspected appendicitis is the most common indication for surgery in non-obstetric conditions during pregnancy and occurs in about one in 500 to one in 635 pregnancies per year. This occurs more often in the second trimester of pregnancy. Acute appendicitis is the most common general surgical problem encountered during pregnancy. Methods: a literature review on research of scientific articles, under the terms "acute appendicitis" and "pregnancy", in PubMed, Lilacs/SciELO, Scopus, Cochrane Library and Uptodate databases.Results: the clinical manifestations of appendicitis are similar to non-pregnant women, however, without a classic presentation, which often occurs, diagnosis is difficult and must be supported by imaging. Discussion: clinical diagnosis should be strongly suspected in pregnant women with classic findings such as abdominal pain that migrates to the right lower quadrant. The main purpose of imaging is to reduce delays in surgical intervention due to diagnostic uncertainty. A secondary objective is to reduce, but not eliminate, the negative appendectomy rate. Differential diagnosis of suspected acute appendicitis usually includes pathologies considered in non-pregnant people. Conclusion: the imaging study of choice is ultrasound, MRI may be used when the former is not conclusive and, as a last resort, a CT scan can be performed. The treatment remains appendectomy by laparotomy, since the feasibility of video-assisted surgery in these cases remains controversial.

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“…Surgeries performed during the first trimester are more likely to lead to abortion, whereas the risk of preterm labor increases during the third trimester [7,11,19,20]. In our study, all the seven pregnant women's gestational ages ranged from 7 weeks 3 days to 17 weeks 6 days.…”

Section: Discussionmentioning

confidence: 70%

“…Laparoscopic surgery has the advantage of decreased pain, shorter recovery time and length of hospital stay, fewer adhesions, and improved cosmetics [3][4][5][6]. Despite the many advantages, laparoscopic appendectomy for pregnant women has caused a major controversy because pneumoperitoneum using carbon dioxide could decrease the blood flow into the uterus and increase the risk of fetal acidemia [7].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Single-Incision Laparoscopic Appendectomy in Pregnant Women

Son

Song

Lee

2018

Soonchunhyang Med Sci

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Owing to advances in laparoscopic technique and equipment, a single-port laparoscopic surgery has been applied in various fields of surgery. However, the application of a single-port laparoscopic surgery for pregnant women has been rarely reported. The aim of this study was to emphasize the feasibility of single-port laparoscopic appendectomy in pregnant women. Methods: In seven pregnant women who underwent abdominal ultrasonography and physical examination, surgery was performed under the diagnosis of acute appendicitis. In all the patients, single-port laparoscopic appendectomy was performed in the same way. The laparoscopic surgical devices used during surgery were same as those in conventional laparoscopic appendectomy. Results: Age ranged from 25 to 33 years (mean, 29.7 years), gestational age ranged from 7 weeks 3 days to 17 weeks 6 days (mean gestational age, 14 weeks 3 days). The mean operation time was 19 minutes (range, 16-22 minutes). No surgical related complications and any issues occurred. Conclusion: Single-port laparoscopic appendectomy for pregnant women is considered one of the treatment methods.

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Laparoscopic Appendectomy is a Safe and Beneficial Procedure in Pregnant Women

Abstract: Our data support the accumulating evidence that LA is a safe and feasible procedure for the treatment of acute appendicitis in all trimesters of pregnancy. Close maternal and fetal monitoring is essential during and after the operation.

Cited by 18 publications

References 0 publications

Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients

Laparoscopic appendectomy and cholecystectomy versus open: a study in 1999 pregnant patients

Acute appendicitis in pregnancy: literature review

Feasibility of Single-Incision Laparoscopic Appendectomy in Pregnant Women

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