Laparoscopic Appendectomy During Pregnancy: Between Personal Experiences and Scientific Evidence

Moreno-Sanz, Carlos; Pascual-Pedreño, Ana; Picazo-Yeste, Joaquín; Seoane-González, José

doi:10.1016/j.jamcollsurg.2007.01.068

Cited by 64 publications

(56 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While open appendectomy is still the standard of care in many institutions, several authors report data supporting the laparoscopic approach as first-line therapy. However, most of these studies contained a small number of patients [2][3][4][5][6][7][8].…”

mentioning

confidence: 99%

Laparoscopic appendectomy in pregnant patients: a review of 45 cases

et al. 2008

View full text Add to dashboard Cite

This large series from a single institution shows a low rate of preterm delivery and absence of foetal loss after laparoscopic appendectomy. Regardless of trimester, the low rate of complication makes it a valuable option for pregnant patients with suspicion of acute appendicitis. The rate of normal appendectomies remaining high, efforts have to be made towards new diagnostic modalities to lower the negative appendectomy rate in this specific population.

show abstract

mentioning

confidence: 99%

Laparoscopic appendectomy in pregnant patients: a review of 45 cases

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Several retrospective reviews have shown a lack of complications in newborns, including adequate weight for gestation age, well-being at birth [99][100][101] and one prospective paper showing no association with developmental delays of motor, sensory or social skills by 3 years of age [1]. Arguments for laparoscopic appendectomy include improved accuracy of diagnosis and preventing complications related to delayed diagnosis [14,71] in a population with many confounding diagnoses and incorrect preop diagnosis in as many as a quarter of the patients [16,102] as well as ability to identify other intra-abdominal pathology which may mimic appendicitis and harbor fetal loss [96].…”

Section: Controversies In Surgical Managementmentioning

confidence: 99%

Review of Operative vs. Non-Operative Management of Appendicitis in Pregnancy

Blears¹,

Keller²,

Ellis³

2017

Surgery Curr Res

View full text Add to dashboard Cite

The last decade has marked a paradigm shift in the care for acute appendicitis in children and non-pregnant adults. Although surgical management remains the safest treatment modality for perforated or complicated appendicitis, antibiotic therapy has been proven to be safe in adult and pediatric patients with non-perforated appendicitis. However, controversy exists for the type of surgery (laparoscopic vs. open) and the post-operative antibiotic regimens which result in optimal patient care of pregnant as well as non-pregnant adults. As several authors have begun to evaluate a non-operative strategy for treating acute appendicitis, whether with antibiotic therapy alone or combined with image-guided percutaneous drainage, others have retrospectively analyzed these strategies to pregnant women with abdominal pain. This collective review presents the epidemiology and diagnostic challenges of acute appendicitis in the pregnant patient and a review of the data that supports non-operative management in non-pregnant adults and pediatric patients as well as the limited data that supports non-operative management in pregnant adults.

show abstract

“…Operative time should be reduced as low as possible, ideally less than 60 minutes. Prophylactic tocolytic agents are not used routinely unless there are uterine contractions and a risk of premature birth [20,29,30] …”

Section: Pregnancymentioning

confidence: 99%

Laparoscopic Appendicectomy

Pitchaimuthu¹

2012

Appendicitis - A Collection of Essays From Around the World

View full text Add to dashboard Cite

Laparoscopic Appendectomy During Pregnancy: Between Personal Experiences and Scientific Evidence

Cited by 64 publications

References 26 publications

Laparoscopic appendectomy in pregnant patients: a review of 45 cases

Laparoscopic appendectomy in pregnant patients: a review of 45 cases

Review of Operative vs. Non-Operative Management of Appendicitis in Pregnancy

Laparoscopic Appendicectomy

Contact Info

Product

Resources

About