Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care.

Autor:	Rollins, M D, Chan, K J, Price, R R
Předmět:	APGAR score APPENDECTOMY APPENDICITIS CATHETERIZATION CHOLECYSTECTOMY COMPARATIVE studies DATABASES FETAL monitoring GALLSTONES HOSPITALS INTRAOPERATIVE monitoring PREMATURE labor LAPAROSCOPIC surgery LAPAROSCOPY RESEARCH methodology EVALUATION of medical care MEDICAL cooperation MEDICAL protocols PERINATAL death PREGNANCY PREGNANCY complications RESEARCH EVALUATION research TREATMENT effectiveness DISEASE incidence EQUIPMENT & supplies
Zdroj:	Surgical Endoscopy & Other Interventional Techniques; Feb2004, Vol. 18 Issue 2, p237-241, 5p
Abstrakt:	Background: Subsequent to a report from the authors' institution, the laparoscopic management of symptomatic cholelithiasis and appendicitis during pregnancy has become the standard of care at LDS Hospital using institutional guidelines. For comparison with previous outcomes described by the authors, 59 additional laparoscopic cases are reported.Methods: Medical records of all pregnant patients at LDS Hospital who underwent open or laparoscopic cholecystectomy or appendectomy between 1998 and 2002 were reviewed. The outcomes were compared with the authors' previous data.Results: The laparoscopic management of symptomatic cholelithiasis and appendicitis during pregnancy increased from 54% to 97%. No significant differences in preterm delivery rates, birth weights, or 5-min Apgar scores were found between the two periods. No birth defects or uterine injuries occurred.Conclusions: With the use of the authors' guidelines, laparoscopy has become the standard of care for managing symptomatic cholelithiasis and appendicitis during pregnancy at LDS Hospital without significant increase in morbidity or mortality. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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