Laparoscopy—A diagnostic aid in cases of suspected appendicitis

Spirtos, Nick M.; Eisenkop, Scott M.; Spirtos, Tanya W.; Poliakin, Raymond I.; Hibbard, Lester T.

doi:10.1016/0002-9378(87)90212-2

Cited by 92 publications

(46 citation statements)

References 10 publications

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“…Discussion Nonobstetrical surgery during pregnancy was shown to be safe in a study over 5,405 operations on pregnant women without increases of congenital malformations or stillbirths, but with higher incidences of very-low, low-birth-weight infants, and death of infant during the first 168 days [17,18]. The laparoscopic procedure was safely performed in pregnant females in several published studies [2,13,19,20], although the gravid condition has long been seen as a contraindication for laparoscopic surgical procedures [21]. Concerns included teratogenicity in the first trimester and preterm delivery during the second and third trimester.…”

Section: Resultsmentioning

confidence: 96%

“…It was reported that intrauterine placement of a Veress needle can result in damage to the gravid uterus when creating a pneumoperitoneum in the pregnant patient [2,14]. The use of Hasson's trocar for open laparoscopy is usually considered safer especially with increased gestation age.…”

Section: Resultsmentioning

confidence: 99%

“…Acute appendicitis and symptomatic cholecystolithiasis are common nonobstetrical emergencies in pregnant women [1,2] and occurs in about 1 to 500 pregnancies [3].…”

Section: Introductionmentioning

confidence: 99%

“…Acute appendicitis occurs with the same frequency in gravid and in nongravid females of the same age, leading to appendectomy in one out of every 1,500 pregnancies [1][2][3][4][5]. Anatomically, the appendix is displaced out of the right lower quadrant to the right lateral upper quadrant.…”

Section: Introductionmentioning

confidence: 99%

“…Peritonitis after perforation increases the risk of unstable gestation and fetal losses are up to 20% in cases of perforated appendicitis and up to 35.7% in generalized peritonitis compared to less than 5% in case of uncomplicated acute appendicitis [6]. Thus, clinical suspicion of acute appendicitis during pregnancy is an indication for surgical exploration [2].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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Background Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. Methods More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32 weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. Results In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks 22, 23, and 25, and 13 were in the third trimester, weeks 27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies.Conclusion From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetus.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

“…Acute appendicitis and symptomatic cholecystolithiasis are common nonobstetrical emergencies in pregnant women [1,2] and occurs in about 1 to 500 pregnancies [3].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%