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Ulus Travma Acil Cerrahi Derg. 2018 Nov;24(6):552-556. doi: 10.5505/tjtes.2018.26357.

Laparoscopic versus open appendectomy in pregnancy: A single center experience.

Author information

1
Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey. afkgok@gmail.com.

Abstract

BACKGROUND:

The aim of this study was to compare the obstetric and surgical outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA) performed for pregnant women at a single center. It was the hypothesis of this study that there would be no significant difference in the results.

METHODS:

The medical records of 57 consecutive pregnant women who underwent an appendectomy between January 2009 and September 2018 were reviewed retrospectively. The patients were divided into 2 groups: OA and LA. The collected data included age, gestational age, diagnostic modalities used, duration of surgery, length of hospital stay, morbidity, and mortality.

RESULTS:

Eighteen (31%) patients underwent LA and 39 (69%) patients underwent OA. There were no significant differences in the demographic data. The duration of surgery was significantly less in the laparoscopic group (37 vs 57 minutes; p=0.005). There were no statistically significant differences in the outcomes of deep or superficial surgical site infection, length of hospital stay, pre-term delivery, or loss of the fetus. There was no mortality in either group.

CONCLUSION:

The results of this study suggest that LA can be a safe option for both the pregnant patient and the child. Further prospective, randomized studies with a larger group of pregnant patients with appendicitis are needed to fully determine the effects of laparoscopy in these circumstances.

PMID:
30516255
DOI:
10.5505/tjtes.2018.26357
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