Non-obstetric surgery in pregnancy (including bowel surgery and gallbladder surgery)

Arkenbosch, Jeanine; Ruler, Oddeke van; Vries, Annemarie C. de

doi:10.1016/j.bpg.2020.101669

Cited by 15 publications

(32 citation statements)

References 84 publications

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“…Individualized fetal heart monitoring and thrombosis prevention during the perioperative management of BCP are recommended according to level I evidence and class A recommendations (34)(35)(36)(37).…”

Section: Added Recommendationsmentioning

confidence: 99%

Chinese Society of Breast Surgery (CSBrS) Practice Guideline 2022

Xiang¹,

Liu²

2023

Transl Breast Cancer Res

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Background: The Chinese Society of Breast Surgery (CSBrS) Practice Guideline 2021 was published nearly one year ago. The new guideline was revised based on comprehensive feedback of the previous publication. The aim is to provide a better reference suitable for Chinese breast surgeons.Methods: Referred to GRADE (Grading of Recommendations Assessment, Development and Evaluation) system, evidences accepted by the Guideline were classified into four categories: I, II, III and IV, which reflected the reliability of the evidences quantitatively. The guideline also comprehensively considered the accessibility of the guideline in clinical practice in China and gave recommendations with different strengths. Results:The guideline emphasized the basic idea that a curative surgical approach falls under the category of radical tumor surgery. Six chapters, including "Diagnosis and treatment of patients with invasive breast cancer", "Sentinel lymph node biopsy in patients with early-stage breast cancer", "Breast-conserving surgery in patients with early-stage breast cancer", "Modified radical mastectomy of breast cancer", "Central venous access for the systemic treatment of breast cancer", and "Breast cancer in pregnancy and postpartum breast cancer" were revised.Conclusions: Compared with the 2021 edition, the new guideline has been revised in six chapters based on the latest research evidence and clinical needs.

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Section: Added Recommendationsmentioning

confidence: 99%

Chinese Society of Breast Surgery (CSBrS) Practice Guideline 2022

Xiang¹,

Liu²

2023

Transl Breast Cancer Res

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“…Subtotal colectomy with end ileostomy is the operation of choice for refractory UC (48,49). Special attention should be paid to the rectal stump because a postoperative stump dehiscence could be fatal to the fetus (45,48,49). A sigmoid mucus fistula will be difficult to achieve with a gravid uterus, so a combination of double stapling, suturing, omental flap coverage, pelvic drainage, and transanal drainage should be used (48,49).…”

Section: Inflammatory Bowel Diseasesmentioning

confidence: 99%

“…In pregnancy, laparoscopy seems to be safe, and offer many of the same advantages as in nonpregnant patients, but controversy still exists about which gestational age should be the cutoff and has variability due to surgeon skill set. As the gestational age increases, it is important to move the access port location higher in the abdominal wall midline, enter the abdomen with a cutdown technique, maintain the intraperitoneal pressure at #12 mm Hg to avoid fetal hemodynamic compromise, and to keep the patient in a left lateral tilt to improve venous return (45,47,51).…”

Section: Inflammatory Bowel Diseasesmentioning

confidence: 99%

Surgery in Pregnancy

Lightner

Mathis

2022

Am J Gastroenterol

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“…In cases of acute pancreatitis related to gallstones during pregnancy, a multidisciplinary approach with gastroenterology, radiology, obstetrics and general surgery and/or hepatobiliary surgery is advised and the treatment strategy is based on the trimester. In general, given most pancreatitis cases are mild in the first and second trimesters, treatment with supportive care in the first trimester is warranted with consideration for a laparoscopic cholecystectomy in the second trimester in case of gallstone induced pancreatitis 29…”

Section: Introductionmentioning

confidence: 99%

“…Surgery is rarely necessary during pregnancy in patients with inflammatory bowel disease (IBD) and is generally reserved for severe refractory cases of ulcerative colitis and Crohn’s disease (CD) and for associated complications 29 30. In general, ileal pouch anal anastomosi procedures are performed electively after childbearing is over.…”

Section: Introductionmentioning

confidence: 99%

Clinical advances: pregnancy in gastroenterologic and hepatic conditions

Kane

Reau

2023

Gut

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The fields of gastroenterology and hepatology, along with endoscopic practice, have seen significant changes and innovations to practice in just the past few years. These practice changes are not limited to gastroenterology, but maternal fetal medicine and the care of the pregnant person have become increasingly more sophisticated as well. Gastroenterologists are frequently called on to provide consultative input and/or perform endoscopy during pregnancy. To be able to provide the best possible care to these patients, gastroenterologists need to be aware of (and familiar with) the various nuances and caveats related to the care of pregnant patients who either have underlying gastrointestinal (GI) conditions or present with GI and liver disorders. Here, we offer a clinical update with references more recent than 2018, along with a few words about SARS-CoV-2 infection and its relevance to pregnancy.

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Non-obstetric surgery in pregnancy (including bowel surgery and gallbladder surgery)

Cited by 15 publications

References 84 publications

Chinese Society of Breast Surgery (CSBrS) Practice Guideline 2022

Chinese Society of Breast Surgery (CSBrS) Practice Guideline 2022

Surgery in Pregnancy

Clinical advances: pregnancy in gastroenterologic and hepatic conditions

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