Laparoscopic versus open appendectomy in pregnancy: A single center experience
| Autor: | Selman Emirikçi, Mustafa Kayıhan Günay, Mehmet Ilhan, Ahmet Kemalettin Koltka, Adem Bayraktar, Ali Gök, Yiğit Soydaş |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Operative Time 030209 endocrinology & metabolism 030230 surgery Single Center 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Appendectomy Humans Pregnancy Complications Infectious Laparoscopy Retrospective Studies medicine.diagnostic_test business.industry Medical record Significant difference Gestational age Retrospective cohort study Length of Stay medicine.disease Appendicitis Surgery Anesthesiology and Pain Medicine Emergency Medicine Female business |
| Zdroj: | Ulusal travma ve acil cerrahi dergisi = Turkish journal of traumaemergency surgery : TJTES. 24(6) |
| ISSN: | 1306-696X |
| Popis: | Background The aim of this study was to compare the obstetric and surgical outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA) performed for pregnant women at a single center. It was the hypothesis of this study that there would be no significant difference in the results. Methods The medical records of 57 consecutive pregnant women who underwent an appendectomy between January 2009 and September 2018 were reviewed retrospectively. The patients were divided into 2 groups: OA and LA. The collected data included age, gestational age, diagnostic modalities used, duration of surgery, length of hospital stay, morbidity, and mortality. Results Eighteen (31%) patients underwent LA and 39 (69%) patients underwent OA. There were no significant differences in the demographic data. The duration of surgery was significantly less in the laparoscopic group (37 vs 57 minutes; p=0.005). There were no statistically significant differences in the outcomes of deep or superficial surgical site infection, length of hospital stay, pre-term delivery, or loss of the fetus. There was no mortality in either group. Conclusion The results of this study suggest that LA can be a safe option for both the pregnant patient and the child. Further prospective, randomized studies with a larger group of pregnant patients with appendicitis are needed to fully determine the effects of laparoscopy in these circumstances. |
| Databáze: | OpenAIRE |
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