Laparoscopic Appendectomy in Pregnancy With Acute Appendicitis: Single Center Experience With World Review

Maimaiti, Abudukaiyoumu; Aierkin, Amina; Mahmood, Khan Muddassar; Apaer, Shadike; Maimaiti, Yilihamu; Yibulayin, Xiaokaiti; Li, Tao; Zhao, Jinming; Tuxun, Tuerhongjiang

doi:10.1097/sle.0000000000000478

Cited by 12 publications

(7 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…AA represents 65% of nontraumatic emergencies with a prevalence of 0.1 to 0.2% throughout all trimesters [ 6 , 7 ]. In our series, four patients out of eight were in their second trimester, similarly to others who reported the second trimester as the most frequent months to have AA [ 8 – 10 ]. Others stated the first trimester as the most common [ 11 , 12 ].…”

Section: Discussionsupporting

confidence: 88%

“…Approximately 80% of pregnant women undergo procedures in an emergency setting, with 38.4% undergoing OA vs. 63.6% LA [ 16 ]. Others reported a high rate of OA in pregnant women, which reached 73% and 92% [ 8 , 19 , 23 ]. From the New York State database which included 1000 patients, OA was performed in community centers by 50% and LA in academic centers by 60% [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…In our data, the average time did not differ in the two groups, with a mean of 50 minutes. LA showed significantly shorter operation time, hospital stay, and earlier recovery of gastrointestinal function when compared with the OA group [ 8 , 20 ]. In complicated appendicitis, the laparoscopic approach is safe in pregnancy [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Analysis of 190 Female Patients after Appendectomy

Alotaibi

Moshref

et al. 2021

Obstetrics and Gynecology International

View full text Add to dashboard Cite

This study is a retrospective cohort review carried out at a single, private tertiary center. We included 190 female patients who underwent surgery for acute appendicitis between January 2016 and December 2018. Two groups of patients were analyzed based on the pregnancy. The main outcome measures were complication rate and risk of abortion during or after surgery. Out of 190 female patients, eight of them were pregnant (4.2%). The pregnant group more significantly underwent ultrasound investigation compared to the nonpregnant group. Complicated appendicitis present in two pregnant patients at advanced gestational age was not statistically significant from nonpregnant. Laparoscopic appendectomy was performed in 6/8 (75%) of pregnant compared to 158/182 (87%) in nonpregnant ( p = 0.415). Compared to the nonpregnant, the pregnant group has a more fecolith, positive peritoneal fluid culture, and wound infection, with E. coli more frequently isolated in 25%. None of the pregnant patients had an abortion, preterm labor, or mortality during or after surgery. In conclusion, laparoscopic appendectomy is a low-risk operation for pregnant with acute appendicitis.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Analysis of 190 Female Patients after Appendectomy

Alotaibi

Moshref

et al. 2021

Obstetrics and Gynecology International

View full text Add to dashboard Cite

show abstract

“…The Alvarado score can be higher in pregnant women due to the higher WBC values and the frequency of nausea and vomiting, especially during the first trimester, implicating lower accuracy compared to the non-pregnant population. Studies show Alvarado score (cutoff 7 points) sensitivity of 78.9% and specificity of 80.0% in pregnant patients [ 41 , 42 ]. The RIPASA score has a specificity (cutoff 7.5 points) of 96%, but the score should be validated in larger studies.…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

View full text Add to dashboard Cite

Background and aims: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of nonoperative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and perioperative antibiotic therapy.

show abstract

“…[ 5 , 19 , 20 ] However, Maimaiti et al recently reported a significantly shorter operative time in the LA group than in the OA group. [ 21 ] In our study, we found that in the first 2 cases, the operative time was over 100 minutes; however, the operative time in the last 2 patients was shortened to only 30 minutes. This finding demonstrated that the effect of the learning curve on laparoscopic operations and that the accumulation of experience could significantly reduce the operative time.…”

Section: Discussionmentioning

confidence: 57%

Laparoscopic appendectomy is safe and feasible in pregnant women during second trimester

et al. 2020

View full text Add to dashboard Cite

Acute appendicitis (AA) is the most common nonobstetric surgical emergency during pregnancy. According to the current guidelines and meta-analyses, traditional open appendectomy (OA) is still recommended for pregnant patients over laparoscopic appendectomy (LA), which might be associated with higher rates of fetal loss. Previous studies and experiences indicated that LA might be safe in the second trimester of pregnancy. The current study aimed to evaluate the safety and feasibility of LA in pregnant women during the second trimester. At our institution, a retrospective study was conducted with pregnant patients who underwent LA or OA during the second trimester between January 2016 and August 2018. A total of 48 patients were enrolled. Of them, 12 were managed with laparoscopy and 36 with the open approach. We found that the LA group had higher BMIs than the OA group (4.0 ± 4.3 vs 21.5 ± 2.9, P = .031). The financial results showed that the average daily medical costs for patients who underwent LA was higher than those who underwent OA (444 ± 107 US$ vs 340 ± 115 US$, P = .009), while the total cost of hospitalization was comparable between the 2 approaches. The perioperative and obstetric outcomes were comparable between LA and OA. In each group, only 1 patient had fetal loss. No “Yinao” was found in any of the patients in the LA group. In this study, with the proven advantages of the laparoscopic techniques, LA was found to be safe and feasible for pregnant women during the second trimester.

show abstract

Laparoscopic Appendectomy in Pregnancy With Acute Appendicitis: Single Center Experience With World Review

Cited by 12 publications

References 25 publications

Analysis of 190 Female Patients after Appendectomy

Analysis of 190 Female Patients after Appendectomy

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

Laparoscopic appendectomy is safe and feasible in pregnant women during second trimester

Contact Info

Product

Resources

About