Laparoscopic appendectomy performed during pregnancy by gynecological laparoscopists.
Park SH, Park MI, Choi JS, Lee JH, Kim HO, Kim H
The Department of Obstetrics and Gynecology, College of Medicine, Hanyang University, Seoul, South Korea.
OBJECTIVE: To evaluate the safety, feasibility, and pregnancy outcomes of laparoscopic appendectomy (LA) during pregnancy. STUDY DESIGN: A retrospective review of eight pregnant women who underwent LA from January 2007 to December 2008. RESULTS: The median age of the patients and median parity were 29.5 years (range, 25-34 years) and 0 (range, 0-1), respectively. The median operating time of LA was 22.5 min (range, 15-40 min). The median length of hospital stay was 3 days (range, 2-4 days). There was no maternal or fetal mortality or morbidity, conversion to laparotomy, or uterine injury. Seven women delivered seven healthy infants. One patient chose to have an elective abortion in another hospital. The histopathological diagnoses of the resected appendices were of acute appendicitis. CONCLUSION: LA performed by gynecologic laparoscopists in pregnant women is safe, feasible, and effective.
Published 16 December 2009 in Eur J Obstet Gynecol Reprod Biol, 148(1): 44-8.
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