Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus

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    Resumé

    INTRODUCTION: The diagnosis and treatment of acute appendicitis during pregnancy is still debated. While laparoscopic appendectomy in general has become the gold standard, this procedure has not generally been implemented for pregnant women.

    METHODS: We retrospectively reviewed the patient charts of all patients who underwent appendectomy during pregnancy in the period from 2000 to 2012. Open appendectomy (OA) was performed in 25 cases and laparoscopic (LA) in 19.

    RESULTS: We observed a significantly longer operation time (69 versus 49 min., p = 0.002), but fewer complications, a shorter hospital stay (2.6 versus 5.5 days, p = 0.004) and a lower rate of negative appendectomies (16% versus 52%, p = 0.02) in the LA group compared with the OA group. The mean gestation age at appendectomy was significantly lower in the LA group. There were no significant differences in gestational age at birth, Apgar score, birth weight or height between the two groups. Five births (11%) were categorised as mildly to moderately preterm. There were no cases of fetal loss.

    CONCLUSION: Laparoscopic appendectomy is safe for both the mother and the fetus during pregnancy irrespective of gestational age, and the procedure is associated with a low risk of post-operative complications.

    FUNDING: none.

    TRIAL REGISTRATION: not relevant.

    OriginalsprogEngelsk
    ArtikelnummerA5259
    TidsskriftDanish Medical Journal
    Vol/bind63
    Udgave nummer8
    Antal sider3
    ISSN2245-1919
    StatusUdgivet - aug. 2016

    Fingeraftryk

    Fetus
    Mothers
    Gestational Age
    Pregnant Women
    Length of Stay

    Citer dette

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    title = "Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus",
    abstract = "INTRODUCTION: The diagnosis and treatment of acute appendicitis during pregnancy is still debated. While laparoscopic appendectomy in general has become the gold standard, this procedure has not generally been implemented for pregnant women.METHODS: We retrospectively reviewed the patient charts of all patients who underwent appendectomy during pregnancy in the period from 2000 to 2012. Open appendectomy (OA) was performed in 25 cases and laparoscopic (LA) in 19.RESULTS: We observed a significantly longer operation time (69 versus 49 min., p = 0.002), but fewer complications, a shorter hospital stay (2.6 versus 5.5 days, p = 0.004) and a lower rate of negative appendectomies (16{\%} versus 52{\%}, p = 0.02) in the LA group compared with the OA group. The mean gestation age at appendectomy was significantly lower in the LA group. There were no significant differences in gestational age at birth, Apgar score, birth weight or height between the two groups. Five births (11{\%}) were categorised as mildly to moderately preterm. There were no cases of fetal loss.CONCLUSION: Laparoscopic appendectomy is safe for both the mother and the fetus during pregnancy irrespective of gestational age, and the procedure is associated with a low risk of post-operative complications.FUNDING: none.TRIAL REGISTRATION: not relevant.",
    keywords = "Pregnancy, laparoscopic",
    author = "{Fr{\o}lund Laustsen}, Jesper and Bjerring, {Ole Steen} and {\O}yvind Johannessen and Niels Qvist",
    year = "2016",
    month = "8",
    language = "English",
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    Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus. / Frølund Laustsen, Jesper; Bjerring, Ole Steen; Johannessen, Øyvind; Qvist, Niels.

    I: Danish Medical Journal, Bind 63, Nr. 8, A5259, 08.2016.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

    TY - JOUR

    T1 - Laparoscopic appendectomy during pregnancy is safe for both the mother and the fetus

    AU - Frølund Laustsen, Jesper

    AU - Bjerring, Ole Steen

    AU - Johannessen, Øyvind

    AU - Qvist, Niels

    PY - 2016/8

    Y1 - 2016/8

    N2 - INTRODUCTION: The diagnosis and treatment of acute appendicitis during pregnancy is still debated. While laparoscopic appendectomy in general has become the gold standard, this procedure has not generally been implemented for pregnant women.METHODS: We retrospectively reviewed the patient charts of all patients who underwent appendectomy during pregnancy in the period from 2000 to 2012. Open appendectomy (OA) was performed in 25 cases and laparoscopic (LA) in 19.RESULTS: We observed a significantly longer operation time (69 versus 49 min., p = 0.002), but fewer complications, a shorter hospital stay (2.6 versus 5.5 days, p = 0.004) and a lower rate of negative appendectomies (16% versus 52%, p = 0.02) in the LA group compared with the OA group. The mean gestation age at appendectomy was significantly lower in the LA group. There were no significant differences in gestational age at birth, Apgar score, birth weight or height between the two groups. Five births (11%) were categorised as mildly to moderately preterm. There were no cases of fetal loss.CONCLUSION: Laparoscopic appendectomy is safe for both the mother and the fetus during pregnancy irrespective of gestational age, and the procedure is associated with a low risk of post-operative complications.FUNDING: none.TRIAL REGISTRATION: not relevant.

    AB - INTRODUCTION: The diagnosis and treatment of acute appendicitis during pregnancy is still debated. While laparoscopic appendectomy in general has become the gold standard, this procedure has not generally been implemented for pregnant women.METHODS: We retrospectively reviewed the patient charts of all patients who underwent appendectomy during pregnancy in the period from 2000 to 2012. Open appendectomy (OA) was performed in 25 cases and laparoscopic (LA) in 19.RESULTS: We observed a significantly longer operation time (69 versus 49 min., p = 0.002), but fewer complications, a shorter hospital stay (2.6 versus 5.5 days, p = 0.004) and a lower rate of negative appendectomies (16% versus 52%, p = 0.02) in the LA group compared with the OA group. The mean gestation age at appendectomy was significantly lower in the LA group. There were no significant differences in gestational age at birth, Apgar score, birth weight or height between the two groups. Five births (11%) were categorised as mildly to moderately preterm. There were no cases of fetal loss.CONCLUSION: Laparoscopic appendectomy is safe for both the mother and the fetus during pregnancy irrespective of gestational age, and the procedure is associated with a low risk of post-operative complications.FUNDING: none.TRIAL REGISTRATION: not relevant.

    KW - Pregnancy

    KW - laparoscopic

    M3 - Journal article

    C2 - 27477796

    VL - 63

    JO - Danish Medical Journal

    JF - Danish Medical Journal

    SN - 1603-9629

    IS - 8

    M1 - A5259

    ER -