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

Cox, Tiffany C.; Huntington, Ciara R.; Blair, Laurel J.; Prasad, Tanushree; Lincourt, Amy E.; Augenstein, Vedra A.; Heniford, B. Todd

doi:10.1007/s00464-015-4244-4

Cited by 79 publications

(57 citation statements)

References 63 publications

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“…[26] Some authors state that even in perforated cases, laparoscopy appears safe in pregnant patients. [27] There are also some limitations to use of laparoscopic appendectomy such as instance of diffuse peritonitis, advanced pregnancy with markedly enlarged uterus, or lack of experience of the surgeon or operating team. [13] In the present study, laparoscopic appendectomy was performed in 20% of all patients without any complication; thus, we also believe that it is a safe and feasible approach for pregnant women with appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Arer

Alemdaroğlu²,

Yeşilağaç³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Acute appendicitis (AA) is the most common cause of acute abdomen during pregnancy. Most of the signs of appendicitis are also found during normal pregnancy period, however, and diagnosis of appendicitis during pregnancy remains challenging. The aim of the current study was to report our clinical experience of AA during pregnancy and investigate optimal management of this difficult situation.

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Section: Discussionmentioning

confidence: 99%

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Arer

Alemdaroğlu²,

Yeşilağaç³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…Eleven studies with 10,632 patients (1219 open, 9413 laparoscopic) were included (Table 1) [18][19][20][21][22][23][24][25][26][27][28]. All studies examined populations from the United States of America and were retrospective comparative studies.…”

Section: Study Demographicsmentioning

confidence: 99%

“…All studies examined populations from the United States of America and were retrospective comparative studies. Two studies were based on national databases [18,19], one study was state based database [20], while the remaining studies were single or multi-institution studies [21][22][23][24][25][26][27][28]. Data collection ranged between 1980 and 2012 with minimal or no overlap of data between the national, state and the institutional studies.…”

Section: Study Demographicsmentioning

confidence: 99%

Laparoscopic versus open cholecystectomy in pregnancy: a systematic review and meta-analysis

et al. 2016

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The results of this first meta-analysis suggest that LC is associated with fewer maternal and fetal complications than OC during pregnancy. However, 91 % of included patients were in the first or second trimester at the time of surgery. These findings do not account for gestational age during pregnancy, which may be a significant confounding factor. The results support intervention for symptomatic gallstones in the first and second trimester with a laparoscopic approach.

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“…[1][2][3] The most common non-obstetric cause for abdominal pain is acute appendicitis which has an incidence of 1 in 1500 pregnancy which is similar to the incidence in nonpregnant population. 4,5 It has been reported that maternal morbidity in acute appendicitis without perforation is 17% compared with 52% with perforation while fetal mortality in noncomplicated appendicitis is 7% compared with 24% in cases with complicated appendicitis. [6][7][8] In general, laparoscopic appendectomy is considered nowadays as the standard technique for treating acute appendicitis but this can be stated for non-pregnant women as in pregnant women doing laparoscopic appendectomy still having debates about its safety for both fetus and mother.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic versus open appendectomy during pregnancy

Alkatary

Bahgat

2017

Int Surg J

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Background: Various causes can be claimed for abdominal pain during pregnancy. Acute appendicitis is the most common cause of abdominal pain during pregnancy. Diagnosis of acute appendicitis during pregnancy is a quiet challenging due to anatomical and physiological changes that occur during pregnancy.Methods: On the period from January 2010 to January 2012we reviewed the number of pregnant patients presented to our facility by abdominal pain and diagnosed as acute appendicitis. Total number was 23 patients. 2 patients were excluded as their magnetic resonance imaging showed normal appendix and were discharged. 6 patients presented on the 1st trimester, 7 patients presented on the 2nd trimester and 8 patients on the 3rd trimester. Laparoscopic appendectomy performed in 9 patients while 12 patients had open appendectomy.Results: The operative time on the laparoscopic group ranged from 50-80 minutes while on the open appendectomy ranged from 40-60 minutes. The length of stay after laparoscopic procedure was 1.5-3 days in comparison to 3-5 days following open appendectomy. Postoperative wound infection detected in 2 patients after open appendectomy (16%) compared with 1 patient (11%) following laparoscopic appendectomy. The postoperative pathology was classified as normal appendix, suppurated appendix and complicated appendix. Table 2 showed the postoperative pathological examination. Preterm labor detected in one patient only had open appendectomy. Fetal outcome was evaluated by Apgar scoring together with fetal length and weight after delivery with no significant abnormality.Conclusions: Laparoscopic appendectomy is safe for both the mother and the fetus during pregnancy irrespective of gestational age, and the procedure is associated with a low risk of post-operative complications.

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

Abstract: While fetal events are unknown, LA and LC in pregnant patients demonstrated shorter ORT, LOS, and reduced complications and were performed more frequently over time. Even in perforated cases, laparoscopy appears safe in pregnant patients.

Cited by 79 publications

References 63 publications

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Acute appendicitis during pregnancy: Case series of 20 pregnant women

Laparoscopic versus open cholecystectomy in pregnancy: a systematic review and meta-analysis

Laparoscopic versus open appendectomy during pregnancy

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