Laparoscopic appendectomy during pregnancy

Article Article scientifique Article Laparoscopic appendectomy during pregnancy eng 2000 author De Perrot Marc Eugène Antoine 43891 author Jenny A author Morales M author Kohlik Magdalena 83990 author Morel Philippe 22337 368-371 11147911 1530-4515 Appendectomy is the most common nonobstetric operation during pregnancy, but laparoscopy has not been considered to be the preferred procedure until recently. The objective of this study was to report the authors' experience with laparoscopic appendectomy during pregnancy and to review the available literature. Six patients underwent laparoscopic appendectomy during pregnancy, and 24 additional cases from the literature were reviewed. Two patients underwent surgery during the first trimester of pregnancy, three patients underwent surgery during the second trimester, and one patient underwent surgery during the third trimester. The Hasson open technique was used in five cases, and the Veress needle was used in one case. Port site locations were adapted to the size of the gravid uterus. Three patients had histologically confirmed appendicitis and underwent delivery of a neonate after 36 weeks (n = 1) and 37 weeks (n = 2) of gestation. Two patients had uterine infections and underwent abortions 2 days after surgery and 6 weeks after surgery, respectively. One patient had an isolated torsion of the right fallopian tube that was diagnosed using laparoscopy. These results show that laparoscopic appendectomy can be safely performed during pregnancy. One limitation may be the size of the gravid uterus, which interferes with adequate visualization and instrumentation in the third trimester of pregnancy. Abortion, Therapeutic Acute Disease Appendectomy/adverse effects/instrumentation/methods Appendicitis/complications/surgery Female Fetal Membranes, Premature Rupture/complications Humans Infection/complications Laparoscopy/adverse effects/methods Pregnancy Pregnancy Complications/surgery Pregnancy Outcome Pregnancy Trimester, First Pregnancy Trimester, Second Pregnancy Trimester, Third Treatment Outcome Uterine Diseases/complications Dewey 617 57 Département de chirurgie 222 false 79 Chirurgie viscérale 104 1329 Chirurgie viscérale (HUG) Surgical laparoscopy, endoscopy & percutaneous techniques 10 6 b97c159c-7f6f-40a7-b11b-3b8890221949 Article (Published version) Restricted 2000_de_perrot_surg_laparosc.pdf 2344697 application/pdf restrictedAccess Faculté de médecine / Section de médecine clinique / Département de chirurgie

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Immunolocalisation des métalloprotéases et de certains oncogènes dans le trophoblaste du premier trimestre		2004	953	619
Laparoscopic appendectomy during pregnancy	Surgical laparoscopy, endoscopy & percutaneous techniques	2000	775	0

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Kohlik, Magdalena