Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy

  • Hayan Kwon
  • Minhee Lee
  • Hyun Soo Park
  • Sang Ho Yoon
  • Chae Hyeong Lee
  • Ju-Won Roh
Article
  • 27 Downloads

Abstract

Background

Nonobstetric surgical interventions are required in some women during pregnancy. The most common nonobstetric conditions requiring surgery during pregnancy are acute appendicitis and cholecystitis. This study aimed to evaluate pregnancy outcomes and complications following surgical procedures for presumed nonobstetric surgical interventions during pregnancy, and to compare the outcomes between the laparoscopic and open approaches.

Methods

We conducted a retrospective study of patients who underwent laparoscopic or open surgery during pregnancy for nonobstetric surgical indications at our institution between 2008 and 2016.

Results

A total of 62 consecutive patients who underwent surgical intervention due to nonobstetric causes during pregnancy were included in our study. Of these, 35 (56.5%) were managed with laparoscopy and 27 (43.5%) with the open approach. Patients who underwent laparoscopy had a significantly shorter hospital stay and lower pain score on postoperative day 2 than those who underwent open surgery (5.5 vs. 7.2 days, p = 0.03 and 1.4 vs. 2.4, p < 0.01, respectively). There were no significant differences in operative complications between both groups. In advanced pregnancy (gestational age ≥ 23 weeks), 7 patients (41.2%) were managed with laparoscopy and 10 (58.8%) with the open approach. No differences in surgical complications were found between both groups in advanced pregnancy as well.

Conclusions

In our study, laparoscopic surgery was found to be feasible and safe in the late second and third trimesters as well as in the first and early second trimesters without adverse effects on pregnancy.

Keywords

Laparoscopy Open surgery Pregnancy Advanced pregnancy Pregnancy outcome 

Notes

Compliance with ethical standards

Disclosures

Hayan Kwon, Minhee Lee, Hyun Soo Park, Sang Ho Yoon, Chae Hyeong Lee, and Ju-Won Roh have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and Gynecology, Dongguk University Ilsan HospitalGraduate School of Medicine of Dongguk UniversityGoyangRepublic of Korea

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