Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis

Jeong Min Eom, Jin-Hwa Hong, Seung Wook Jeon, Joong Sub Choi, Jung Hun Lee, Hyung Ook Kim, Hungdai Kim, Pil Cho Choi, Sang Kuk Han

Research output: Contribution to journalReview article

14 Citations (Scopus)

Abstract

Introduction: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic appendectomy (LA) during pregnancy by comparing the operative and obstetric outcomes of patients who during pregnancy underwent LA performed by an expert gynaecologic laparoscopist (LA group) with those patients who underwent an open appendectomy (OA) by a general surgeon (OA group). Materials and Methods: In this retrospective study, we evaluated all patients consecutively who had undergone appendectomy for acute appendicitis during pregnancy from January 2000 to December 2010. Twenty-eight patients underwent OA and 15 were treated by LA. We reviewed the clinical charts and analysed the data for each patient's age, parity, body mass index, gestational age at appendectomy, type of appendectomy, operating time, haemoglobin change, hospital stay, histopathological results, postoperative analgesics, complications, and obstetric outcomes. Results: There were no significant differences between the OA and LA groups in terms of clinical characteristics, hospital stay, haemoglobin change, return of bowel activity, complication rates, gestational age at delivery, and birth weight. However, there were significantly shorter operating time and less usage of postoperative analgesics in LA group. Conclusion: LA performed by an expert gynaecologist can be a safe and effective method for treating acute appendicitis during the first and second trimester of pregnancy.

Original languageEnglish
Pages (from-to)82-86
Number of pages5
JournalAnnals of the Academy of Medicine Singapore
Volume41
Issue number2
Publication statusPublished - 2012 Feb 1
Externally publishedYes

Fingerprint

Appendectomy
Appendicitis
Pregnant Women
Safety
Pregnancy
Gestational Age
Obstetrics
Analgesics
Length of Stay
Hemoglobins
Second Pregnancy Trimester
First Pregnancy Trimester
Parity
Birth Weight

Keywords

  • Appendicitis
  • Laparoscopic appendectomy
  • Pregnant women

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis. / Eom, Jeong Min; Hong, Jin-Hwa; Jeon, Seung Wook; Choi, Joong Sub; Lee, Jung Hun; Kim, Hyung Ook; Kim, Hungdai; Choi, Pil Cho; Han, Sang Kuk.

In: Annals of the Academy of Medicine Singapore, Vol. 41, No. 2, 01.02.2012, p. 82-86.

Research output: Contribution to journalReview article

Eom, JM, Hong, J-H, Jeon, SW, Choi, JS, Lee, JH, Kim, HO, Kim, H, Choi, PC & Han, SK 2012, 'Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis', Annals of the Academy of Medicine Singapore, vol. 41, no. 2, pp. 82-86.
Eom, Jeong Min ; Hong, Jin-Hwa ; Jeon, Seung Wook ; Choi, Joong Sub ; Lee, Jung Hun ; Kim, Hyung Ook ; Kim, Hungdai ; Choi, Pil Cho ; Han, Sang Kuk. / Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis. In: Annals of the Academy of Medicine Singapore. 2012 ; Vol. 41, No. 2. pp. 82-86.
@article{6e4654c246344d39b20b7ee8c390d9f3,
title = "Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis",
abstract = "Introduction: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic appendectomy (LA) during pregnancy by comparing the operative and obstetric outcomes of patients who during pregnancy underwent LA performed by an expert gynaecologic laparoscopist (LA group) with those patients who underwent an open appendectomy (OA) by a general surgeon (OA group). Materials and Methods: In this retrospective study, we evaluated all patients consecutively who had undergone appendectomy for acute appendicitis during pregnancy from January 2000 to December 2010. Twenty-eight patients underwent OA and 15 were treated by LA. We reviewed the clinical charts and analysed the data for each patient's age, parity, body mass index, gestational age at appendectomy, type of appendectomy, operating time, haemoglobin change, hospital stay, histopathological results, postoperative analgesics, complications, and obstetric outcomes. Results: There were no significant differences between the OA and LA groups in terms of clinical characteristics, hospital stay, haemoglobin change, return of bowel activity, complication rates, gestational age at delivery, and birth weight. However, there were significantly shorter operating time and less usage of postoperative analgesics in LA group. Conclusion: LA performed by an expert gynaecologist can be a safe and effective method for treating acute appendicitis during the first and second trimester of pregnancy.",
keywords = "Appendicitis, Laparoscopic appendectomy, Pregnant women",
author = "Eom, {Jeong Min} and Jin-Hwa Hong and Jeon, {Seung Wook} and Choi, {Joong Sub} and Lee, {Jung Hun} and Kim, {Hyung Ook} and Hungdai Kim and Choi, {Pil Cho} and Han, {Sang Kuk}",
year = "2012",
month = "2",
day = "1",
language = "English",
volume = "41",
pages = "82--86",
journal = "Annals of the Academy of Medicine, Singapore",
issn = "0304-4602",
publisher = "Academy of Medicine Singapore",
number = "2",

}

TY - JOUR

T1 - Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis

AU - Eom, Jeong Min

AU - Hong, Jin-Hwa

AU - Jeon, Seung Wook

AU - Choi, Joong Sub

AU - Lee, Jung Hun

AU - Kim, Hyung Ook

AU - Kim, Hungdai

AU - Choi, Pil Cho

AU - Han, Sang Kuk

PY - 2012/2/1

Y1 - 2012/2/1

N2 - Introduction: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic appendectomy (LA) during pregnancy by comparing the operative and obstetric outcomes of patients who during pregnancy underwent LA performed by an expert gynaecologic laparoscopist (LA group) with those patients who underwent an open appendectomy (OA) by a general surgeon (OA group). Materials and Methods: In this retrospective study, we evaluated all patients consecutively who had undergone appendectomy for acute appendicitis during pregnancy from January 2000 to December 2010. Twenty-eight patients underwent OA and 15 were treated by LA. We reviewed the clinical charts and analysed the data for each patient's age, parity, body mass index, gestational age at appendectomy, type of appendectomy, operating time, haemoglobin change, hospital stay, histopathological results, postoperative analgesics, complications, and obstetric outcomes. Results: There were no significant differences between the OA and LA groups in terms of clinical characteristics, hospital stay, haemoglobin change, return of bowel activity, complication rates, gestational age at delivery, and birth weight. However, there were significantly shorter operating time and less usage of postoperative analgesics in LA group. Conclusion: LA performed by an expert gynaecologist can be a safe and effective method for treating acute appendicitis during the first and second trimester of pregnancy.

AB - Introduction: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic appendectomy (LA) during pregnancy by comparing the operative and obstetric outcomes of patients who during pregnancy underwent LA performed by an expert gynaecologic laparoscopist (LA group) with those patients who underwent an open appendectomy (OA) by a general surgeon (OA group). Materials and Methods: In this retrospective study, we evaluated all patients consecutively who had undergone appendectomy for acute appendicitis during pregnancy from January 2000 to December 2010. Twenty-eight patients underwent OA and 15 were treated by LA. We reviewed the clinical charts and analysed the data for each patient's age, parity, body mass index, gestational age at appendectomy, type of appendectomy, operating time, haemoglobin change, hospital stay, histopathological results, postoperative analgesics, complications, and obstetric outcomes. Results: There were no significant differences between the OA and LA groups in terms of clinical characteristics, hospital stay, haemoglobin change, return of bowel activity, complication rates, gestational age at delivery, and birth weight. However, there were significantly shorter operating time and less usage of postoperative analgesics in LA group. Conclusion: LA performed by an expert gynaecologist can be a safe and effective method for treating acute appendicitis during the first and second trimester of pregnancy.

KW - Appendicitis

KW - Laparoscopic appendectomy

KW - Pregnant women

UR - http://www.scopus.com/inward/record.url?scp=84863276361&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863276361&partnerID=8YFLogxK

M3 - Review article

C2 - 22498855

AN - SCOPUS:84863276361

VL - 41

SP - 82

EP - 86

JO - Annals of the Academy of Medicine, Singapore

JF - Annals of the Academy of Medicine, Singapore

SN - 0304-4602

IS - 2

ER -