Document Detail


The laparoscopic management of appendicitis and cholelithiasis during pregnancy.
MedLine Citation:
PMID:  10670865     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy remains controversial. We report the single largest series of laparoscopic cholecystectomies and appendectomies during pregnancy. METHODS: Medical records of all pregnant patients who underwent open or laparoscopic management of appendicitis/cholelithiasis at LDS Hospital from 1990 to 1998 were reviewed. RESULTS: Eighteen open appendectomies (OA) and 13 open cholecystectomies (OC) were performed. Forty-five laparoscopic cholecystectomies (LC) and 22 laparoscopic appendectomies (LA) were performed without birth defects, fetal loss or uterine injury. Preterm delivery rates (PTD) in the LA and OA groups were similar (15.8% versus 11.8%, P>0.9). The PTD rate in the LC group was not significantly different than in the OC group (11.9% versus 10.0%, P>0.9). Neither birth weights nor Apgar scores were significantly different across groups. CONCLUSIONS: Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy can be performed with minimal fetal and maternal morbidity when accepted management guidelines are followed.
Authors:
D G Affleck; D L Handrahan; M J Egger; R R Price
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  178     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-03-07     Completed Date:  2000-03-07     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  523-9     Citation Subset:  AIM; IM    
Affiliation:
Latter-day Saints, Hospital Department of Surgery, Salt Lake City, Utah 84102, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Appendectomy / methods*,  statistics & numerical data
Appendicitis / epidemiology,  surgery*
Cholecystectomy, Laparoscopic* / statistics & numerical data
Cholelithiasis / epidemiology,  surgery*
Congenital Abnormalities / epidemiology
Female
Fetal Diseases / epidemiology
Humans
Laparoscopy / statistics & numerical data
Obstetric Labor, Premature / epidemiology
Pregnancy
Pregnancy Complications / epidemiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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