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

15 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

Keywords

  • Appendicitis
  • Laparoscopic appendectomy
  • Pregnant women

ASJC Scopus subject areas

  • Medicine(all)

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    Eom, J. M., Hong, J. H., Jeon, S. W., Choi, J. S., Lee, J. H., Kim, H. O., Kim, H., Choi, P. C., & Han, S. K. (2012). Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis. Annals of the Academy of Medicine Singapore, 41(2), 82-86.