Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy
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 proced...
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| Veröffentlicht in: | Surgical endoscopy 2018-06, Vol.32 (6), p.2643-2649 |
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| creator | Kwon, Hayan Lee, Minhee Park, Hyun Soo Yoon, Sang Ho Lee, Chae Hyeong Roh, Ju-Won |
| description | 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
|
| doi_str_mv | 10.1007/s00464-018-6189-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2025317448</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2024667825</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a81c74e1a2ec1544cbdcfee45be6e504a65146d1b97f334b065337ac49ccdef53</originalsourceid><addsrcrecordid>eNp1kUtLxDAUhYMoOo7-ADcScOOmmnfapYgvGHCj65Cmt0OlTWoyBf33psyoILi6i_udcx8HoTNKrigh-joRIpQoCC0LRcuq-NhDCyo4Kxij5T5akIqTgulKHKHjlN5IxisqD9ERq5QUkukFalZ2tDEkF8bO4cF6u4YB_AZ3CbdgU1f3gNsQsQ8-1GkDm5i5NMV152yPmy5lCHDnse17nJsDZCgmHFo8Rlh7693nCTpobZ_gdFeX6PX-7uX2sVg9Pzzd3qwKxzXbFLakTgugloGjUghXN64FELIGBZIIqyQVqqF1pVvORU2U5FxbJyrnGmglX6LLre8Yw_uUFzFDlxz0vfUQpmQYYZJTLUSZ0Ys_6FuYos_bzZRQSpdsNqRbyuUXpQitGfOFNn4aSswcgdlGYHIEZo7AfGTN-c55qgdofhTfP88A2wIpt_wa4u_o_12_AEKgk24</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2024667825</pqid></control><display><type>article</type><title>Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy</title><source>SpringerNature Journals</source><creator>Kwon, Hayan ; Lee, Minhee ; Park, Hyun Soo ; Yoon, Sang Ho ; Lee, Chae Hyeong ; Roh, Ju-Won</creator><creatorcontrib>Kwon, Hayan ; Lee, Minhee ; Park, Hyun Soo ; Yoon, Sang Ho ; Lee, Chae Hyeong ; Roh, Ju-Won</creatorcontrib><description>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.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-018-6189-x</identifier><identifier>PMID: 29654527</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Abdominal Surgery ; Gastroenterology ; Gynecology ; Hepatology ; Laparoscopy ; Medicine ; Medicine & Public Health ; Pregnancy ; Proctology ; Surgery ; Surgical outcomes</subject><ispartof>Surgical endoscopy, 2018-06, Vol.32 (6), p.2643-2649</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>Surgical Endoscopy is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a81c74e1a2ec1544cbdcfee45be6e504a65146d1b97f334b065337ac49ccdef53</citedby><cites>FETCH-LOGICAL-c372t-a81c74e1a2ec1544cbdcfee45be6e504a65146d1b97f334b065337ac49ccdef53</cites><orcidid>0000-0002-2449-8742</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-018-6189-x$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-018-6189-x$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29654527$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kwon, Hayan</creatorcontrib><creatorcontrib>Lee, Minhee</creatorcontrib><creatorcontrib>Park, Hyun Soo</creatorcontrib><creatorcontrib>Yoon, Sang Ho</creatorcontrib><creatorcontrib>Lee, Chae Hyeong</creatorcontrib><creatorcontrib>Roh, Ju-Won</creatorcontrib><title>Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>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.</description><subject>Abdominal Surgery</subject><subject>Gastroenterology</subject><subject>Gynecology</subject><subject>Hepatology</subject><subject>Laparoscopy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pregnancy</subject><subject>Proctology</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kUtLxDAUhYMoOo7-ADcScOOmmnfapYgvGHCj65Cmt0OlTWoyBf33psyoILi6i_udcx8HoTNKrigh-joRIpQoCC0LRcuq-NhDCyo4Kxij5T5akIqTgulKHKHjlN5IxisqD9ERq5QUkukFalZ2tDEkF8bO4cF6u4YB_AZ3CbdgU1f3gNsQsQ8-1GkDm5i5NMV152yPmy5lCHDnse17nJsDZCgmHFo8Rlh7693nCTpobZ_gdFeX6PX-7uX2sVg9Pzzd3qwKxzXbFLakTgugloGjUghXN64FELIGBZIIqyQVqqF1pVvORU2U5FxbJyrnGmglX6LLre8Yw_uUFzFDlxz0vfUQpmQYYZJTLUSZ0Ys_6FuYos_bzZRQSpdsNqRbyuUXpQitGfOFNn4aSswcgdlGYHIEZo7AfGTN-c55qgdofhTfP88A2wIpt_wa4u_o_12_AEKgk24</recordid><startdate>20180601</startdate><enddate>20180601</enddate><creator>Kwon, Hayan</creator><creator>Lee, Minhee</creator><creator>Park, Hyun Soo</creator><creator>Yoon, Sang Ho</creator><creator>Lee, Chae Hyeong</creator><creator>Roh, Ju-Won</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2449-8742</orcidid></search><sort><creationdate>20180601</creationdate><title>Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy</title><author>Kwon, Hayan ; Lee, Minhee ; Park, Hyun Soo ; Yoon, Sang Ho ; Lee, Chae Hyeong ; Roh, Ju-Won</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a81c74e1a2ec1544cbdcfee45be6e504a65146d1b97f334b065337ac49ccdef53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Abdominal Surgery</topic><topic>Gastroenterology</topic><topic>Gynecology</topic><topic>Hepatology</topic><topic>Laparoscopy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pregnancy</topic><topic>Proctology</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kwon, Hayan</creatorcontrib><creatorcontrib>Lee, Minhee</creatorcontrib><creatorcontrib>Park, Hyun Soo</creatorcontrib><creatorcontrib>Yoon, Sang Ho</creatorcontrib><creatorcontrib>Lee, Chae Hyeong</creatorcontrib><creatorcontrib>Roh, Ju-Won</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kwon, Hayan</au><au>Lee, Minhee</au><au>Park, Hyun Soo</au><au>Yoon, Sang Ho</au><au>Lee, Chae Hyeong</au><au>Roh, Ju-Won</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2018-06-01</date><risdate>2018</risdate><volume>32</volume><issue>6</issue><spage>2643</spage><epage>2649</epage><pages>2643-2649</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29654527</pmid><doi>10.1007/s00464-018-6189-x</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-2449-8742</orcidid></addata></record> |
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| source | SpringerNature Journals |
| subjects | Abdominal Surgery Gastroenterology Gynecology Hepatology Laparoscopy Medicine Medicine & Public Health Pregnancy Proctology Surgery Surgical outcomes |
| title | Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy |
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