Nonobstetric Surgery During Pregnancy

Kammerer, William S.

doi:10.1016/s0025-7125(16)31633-9

Cited by 175 publications

(77 citation statements)

References 27 publications

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“…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%

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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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“…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%

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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“…Appendicectomy is the most common non obstetric operation performed during pregnancy [14,15] with a reported incidence of 0.05% -0.1% [16]. Twenty-five per cent of all pregnant women who have acute appendicitis will progress to perforation [17].…”

Section: Pregnancymentioning

confidence: 99%

Laparoscopic Appendicectomy

Pitchaimuthu¹

2012

Appendicitis - A Collection of Essays From Around the World

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“…En los años 90, la primera estaba formalmente contraindicada, pues se decía que el CO 2 era potencialmente dañino para el feto, lo que ha sido desmentido por varias experiencias comunicadas, algunas de ellas experimentales en animales. Así, en una experiencia publicada en el año 2001 6 , se realizó laparotomía o laparoscopia en 30 cerdos de pretérmino, ésta última con CO 2 a 5 mmHg por 40 minutos. Luego se hizo un estudio del cerebro de 83 fetos, sin encontrarse evidencias de daño cerebral.…”

Section: Introductionunclassified

Surgical pathologies in pregnancy

Olmedo

Segovia

2016

Rev. Nac. (Itauguá)

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Introducción: una de cada 50 mujeres presentará durante su embarazo dolor abdominal potencialmente quirúrgico y una de cada 600 mujeres embarazadas requerirá de cirugía abdominal no obstétrica durante el embarazo. Objetivos: determinar la frecuencia y características demográficas y clínicas de patologías quirúrgicas durante el embarazo en pacientes internadas en el Hospital Nacional del año 2010 al 2014. Metodología: diseño observacional, descriptivo, retrospectivo de corte trasversal. Población estudiada: gestantes y/o puérperas atendidas en el Hospital Nacional con diagnóstico de patologías quirúrgicas durante los años 2010-2014. Muestreo no probabilístico según criterio. Resultados: se hallaron76 mujeres (0,5%) con patologías quirúrgicas, la edad media fue 27 ± 6,2 años. La litiasis vesicular y la apendicitis aguda fueron las más frecuentes. La media de edad gestacional fue 28 ± 9,4 semanas. Las complicaciones fueron abdomen agudo y pancreatitis aguda, requiriendo cirugía 39(51,3%) pacientes. Conclusiones: la frecuencia de patologías quirúrgicas fue menor al 1%, las patologías biliares y apendiculares fueron las más frecuentes.Palabras claves: apendicitis aguda, colecistitis aguda, pancreatitis aguda, embarazo. ABSTRACT Introduction:One in 50 women during pregnancy will potentially present surgical abdominal pain and one of every 600 pregnant women will require nonobstetric abdominal surgery during pregnancy. To determine the frequency and types of surgical pathologies during pregnancy in patients hospitalized in the National Hospital from 2010 to 2014. Methodology: observational, descriptive, retrospective study cross-sectional. Population studied pregnant and / or postpartum women treated at the National Hospital with a diagnosis of surgical pathologies during the years 2010-2014, no probabilistic sampling according to criteria. Results: 76 (0.5%) with surgical pathologies, median age were found: 27 ± 6.2 years, Cholelithiasis and acute appendicitis were the most frequent. Median gestational age was 28 ± 9.4 weeks. The complication were acute abdominal patology and acute pancreatitis, requiring surgery 39 (51.3%) patients. Conclusions: The frequency of surgical pathologies were less than 1%, biliary and appendicular pathology were the most frequent.

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Nonobstetric Surgery During Pregnancy

Cited by 175 publications

References 27 publications

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Laparoscopic Appendicectomy

Surgical pathologies in pregnancy

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