Nonobstetric Surgery in Pregnancy

Kammerer, William S.

doi:10.1016/s0025-7125(16)30858-6

Cited by 42 publications

(41 citation statements)

References 35 publications

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“…Fetal losses for cholecystectomy is approximately 5% [4]. However, acute biliary pancreatitis was associated with a 15% maternal mortality and up to 60% fetal losses [4]. Although published studies have described successful procedures, laparoscopic surgical intervention remains limited [12].…”

Section: Introductionsupporting

confidence: 83%

“…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%

“…Anatomically, the appendix is displaced out of the right lower quadrant to the right lateral upper quadrant. Leukocytosis is common in uneventful pregnancy [4,6,7]. Diagnostic studies, including ultrasound, are of little help; only a physical examination is reliable.…”

Section: Introductionmentioning

confidence: 99%

“…Pregnancy may predispose women to gallbladder disease by increasing stone formation and possibly increasing symptoms in women with preexisting cholelithiasis [9,11]. Fetal losses for cholecystectomy is approximately 5% [4]. However, acute biliary pancreatitis was associated with a 15% maternal mortality and up to 60% fetal losses [4].…”

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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Section: Introductionsupporting

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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“…Of all surgical problems during pregnancy, appendicitis causes the greatest incidence of fetal loss. 3 The particular dangers of appendicitis in pregnancy lie in the varied presentation of symptoms and the higher chance of delayed diagnosis. The outcome may be improved if prompt diagnosis is made, and surgical intervention combined with obstetric care is performed at an early stage of the disease.…”

Section: Introductionmentioning

confidence: 99%

Appendicitis in pregnancy: management

Mohan¹,

Mohan²,

Mehta³

et al. 2014

Int J Res Med Sci

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Laparoscopic Appendectomy: New Concepts

2011

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Over the last three decades more surgeons have used laparoscopic appendectomy as their surgical approach of choice in the management of patients with appendicitis. This includes special groups of patients, namely, pediatric, pregnant, and obese patients. Laparoscopy has the benefit of lower morbidity, decreased rate of wound complications, faster recovery, shorter length of hospital stay, and faster return to work over open appendectomy.

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Nonobstetric Surgery in Pregnancy

Cited by 42 publications

References 35 publications

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Appendicitis in pregnancy: management

Laparoscopic Appendectomy: New Concepts

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