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Safety and clinical efficacy of laparoscopic appendectomy for pregnant women with acute appendicitis
Annals of the Academy of Medicine, Singapore ; : 82-86, 2012.
Artículo en Inglés | WPRIM | ID: wpr-229596
ABSTRACT
<p><b>INTRODUCTION</b>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).</p><p><b>MATERIALS AND METHODS</b>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.</p><p><b>RESULTS</b>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.</p><p><b>CONCLUSION</b>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.</p>
Asunto(s)
Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Apendicectomía / Apendicitis / Complicaciones del Embarazo / Estándares de Referencia / Cirugía General / Estudios Retrospectivos / Resultado del Tratamiento / Laparoscopía / República de Corea / Métodos Tipo de estudio: Estudio observacional Límite: Adulto / Femenino / Humanos / Embarazo País/Región como asunto: Asia Idioma: Inglés Revista: Annals of the Academy of Medicine, Singapore Año: 2012 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Apendicectomía / Apendicitis / Complicaciones del Embarazo / Estándares de Referencia / Cirugía General / Estudios Retrospectivos / Resultado del Tratamiento / Laparoscopía / República de Corea / Métodos Tipo de estudio: Estudio observacional Límite: Adulto / Femenino / Humanos / Embarazo País/Región como asunto: Asia Idioma: Inglés Revista: Annals of the Academy of Medicine, Singapore Año: 2012 Tipo del documento: Artículo