Introduction: Laparoscopic surgery during pregnancy is contraindicated absolutely or relatively through the last decade; however, laparoscopic appendectomy (LA) is still performed in pregnant women.
Materials and methods: Thirty-one pregnant females with a diagnosis of acute appendicitis and managed with LA or OA in the emergency unit of the department of general surgery from June 2015 to December 2017.
Results: Eighteen patients underwent LA, while 13 patients underwent OA. No difference was noticed between both groups regarding the operative duration, and fetal and maternal outcomes. However, the group of LA had faster first flatus and shorter inpatient duration than the OA group.
Conclusion: Laparoscopic appendectomy is distinguished with efficacy and safety procedure throughout pregnancy and should be considered a good replacement for open appendectomy.
Pearl J, Price R, et al. Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Surg Endosc 2011;25:3479–3492. DOI: 10.1007/s00464-011-1927-3.
Kirshtein B, Perry ZH, et al. Safety of laparoscopic appendectomy during pregnancy. World J Surg 2009;33:475–480. DOI: 10.1007/s00268-008-9890-4.
Corneille MG, Gallup TM, et al. The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy. Am J Surg 2010;200(3): 363–367. DOI: 10.1016/j.amjsurg.2009.09.022.
McGory ML, Zingmond DS, et al. Negative appendectomy in pregnant women is associated with a substantial risk of fetal loss. J Am Coll Surg 2007;205(4):534–540. DOI: 10.1016/j.jamcollsurg.2007.05.025.
Samardizic J, Delibegovic S, et al. Laparoscopic appendectomy is safe procedure in the pregnant patients in second trimester. Med Arch 2011;65:125–126.
Mazze RI, Kallen B. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet Gynecol 1991;77(6):835–840.
Chung JC, Cho GS, et al. Clinical outcomes compared between laparoscopic and open appendectomy in pregnant women. Can J Surg 2013 Oct;56(5):341–346. DOI: 10.1503/cjs.022112.
Moreno-Sanz C, Pascual-Pedreño A, et al. Laparoscopic appendectomy during pregnancy: between personal experiences and scientific evidence. J Am Coll Surg 2007;205(1):37–42. DOI: 10.1016/j.jamcollsurg.2007.01.068.
Carver TW, Antevil J, et al. Appendectomy during early pregnancy: What is the preferred surgical approach? Am Surg 2005;71(10):809–812.
Kazar RA, Roslyn JJ. The appendix. In: Schwartz SI, Shires GT, et al. ed. Principles of Surgery. USA: McGraw-Hill; 1999. p. 1384e94.
Mazze Richard I, Bengt K. Appendectomy during pregnancy: a Swedish registry study of 778 cases. Obstet Gynecol 1991;77(6):835e40.
Walsh CA, Tang T, et al. Laparoscopic vs open appendectomy in pregnancy: a systematic review. Int J Surg 2008;6(4):339–444. DOI: 10.1016/j.ijsu.2008.01.006.
Park SH, Park MI, et al. Laparoscopic appendectomy performed during pregnancy by gynecological laparoscopists. Eur J Obstet Gynecol Reprod Biol 2010;148(1):44–48. DOI: 10.1016/j.ejogrb.2009. 09.026.
Lyass S, Pikarsky A, et al. Is laparoscopic appendectomy safe in pregnant women? Surg Endosc 2001;15(4):377–379. DOI: 10.1007/s004640000368.
Guidelines for laparoscopic surgery during pregnancy. Society of American Gastrointestinal Endoscopic Surgeons (SAGES). Surg Endosc 1998;12(2):189–190. DOI: 10.1007/s004649900629.
Moreno-Sanz C, Pascual-Pedreno A, et al. Laparoscopic appendectomy during pregnancy: between personal experiences and scientific evidence. J Am Coll Surg 2007;205(1):37–42. DOI: 10.1016/j.jamcollsurg.2007.01.068.
Curet MJ, Allen D, et al. Laparoscopy during pregnancy. Arch Surg 1996;131:546–550. DOI: 10.1001/archsurg.1996.01430170092017.
Morrell DG, Mullins JR, et al. Laparoscopic cholecystectomy during pregnancy in symptomatic patients. Surgery 1992;112(5):856–859.
Friedman JD, Ramsey PS, et al. Pneumoamnion and pregnancy loss after second-trimester laparoscopic surgery. Obstet Gynecol 2002;99(3):512–513. DOI: 10.1016/S0029-7844(01)01664-7.
Malangoni MA. Gastrointestinal surgery and pregnancy. Gastroenterol Clin North Am 2003;32(1):181–200. DOI: 10.1016/S0889-8553(02) 00072-9.