Surgical and obstetrical outcomes after laparoscopic appendectomy during pregnancy: a case-matched analysis

Surgical and obstetrical outcomes after laparoscopic appendectomy during pregnancy: a case-matched analysis

Purpose Laparoscopic appendectomy (LA) for acute appendicitis (AA) remains controversial during pregnancy. We aimed to determine surgical and obstetrical outcomes of LA in pregnant women. Methods Pregnant women who underwent LA for AA (G1) between 2006 and 2019 were included and matched by gender, a...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics Vol. 304; no. 6; pp. 1535 - 1540
Main Authors: Angeramo, Cristian A., Peña, María E., Maqueda Vocos, Martín, Schlottmann, Francisco
Format: Journal Article
Language:English
Published: Berlin/Heidelberg Springer Berlin Heidelberg 01-12-2021
Springer Nature B.V
Subjects:
Abdomen
Antibiotics
Appendectomy
Appendectomy - adverse effects
Appendicitis
Appendicitis - surgery
Appendix
Cardiovascular disease
Endocrinology
Female
General Gynecology
Gestational age
Gynecology
Hospitals
Human Genetics
Humans
Laboratories
Laparoscopy
Length of Stay
Medicine
Medicine & Public Health
Morbidity
Mortality
Obstetrics
Obstetrics/Perinatology/Midwifery
Pain
Patients
Peritonitis
Postoperative Complications
Pregnancy
Retrospective Studies
Statistical analysis
Surgery
Surgical outcomes
Treatment Outcome
Ultrasonic imaging
Womens health
Pregnancy
Laparoscopic appendectomy
Pregnant women
Appendicitis
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Summary:Purpose Laparoscopic appendectomy (LA) for acute appendicitis (AA) remains controversial during pregnancy. We aimed to determine surgical and obstetrical outcomes of LA in pregnant women. Methods Pregnant women who underwent LA for AA (G1) between 2006 and 2019 were included and matched by gender, age, white blood cells, ASA score, and presence of peritonitis in a 1:2 ratio with non-pregnant women who had undergone LA (G2). Demographics and surgical outcomes were compared between groups. Preterm delivery and fetal loss rate were also analyzed. Results From a total of 2009 LA, 18 (0.9%) were included in G1 and 36 (1.8%) in G2. There were no intraoperative complications or converted surgeries. Length of hospital stay was longer in G1 (G1: 2.6 vs G2: 1.4 days, p  < 0.01). There was no difference in overall morbidity and readmission rates. Fetal loss and preterm delivery rates were both 11%. Conclusion LA in pregnant women has similar intraoperative and postoperative outcomes as those achieved in non-pregnant patients. In addition, the laparoscopic approach does not seem to jeopardize obstetrical outcomes.
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ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-021-06201-9