Laparoscopic appendectomy in pregnancy – a case report

Česká verzia

Authors: J. Majernik; D. Bis; P. Hanousek; V. Ninger
Authors place of work: Chirurgické oddělení Chrudimská nemocnice, a. s., přednosta: MUDr. V. Ninger, PhD.
Published in the journal: Rozhl. Chir., 2012, roč. 91, č. 6, s. 327-329.
Category: Kazuistika

Summary

The authors present a case of a 25- year- old pregnant patient diagnosed with acute appendicitis, indicated for laparoscopic appendectomy based on a consultation with gynecologists. No complications occurred during postoperative recovery and the patient was discharged on the fifth postoperative day, vital fetus with normal development.

This case review points out a rarely discussed topic of laparoscopic appendectomy in pregnant women as a safe alternative to open surgery. Appendicitis is one of the most common indications for surgery during pregnancy. Appendicitis in pregnancy represents a challenge for a surgeon, both in terms of diagnosis as well as treatment and choice of surgical approach.

Key words:
laparoscopy – appendectomy – appendicitis – pregnancy

Zdroje

1. Chinusamy P. Laparoscopic Appendectomy in Pregnancy: a Case series, JSLS (Jurnal of the Society of Laparoscopic Surgeons) 2006;10:321–325.

2. Stephen J, Laparoscopic Appendectomy and Cholecystectomy during Pregnancy, JSLS (Jurnal of the Society of Laparoscopic Surgeons) 1998;2:41–46.

3. Lemieux P, Laparoscopic Appendectomy in pregnant patients, Springers Science, 2008,

4. Hakim N, Laparoscopic management of appendicitis and symptomatic cholecystitis during pregnancy, Langenbecks archives of surgery, 2006 vol. 391.

5. Guidelines for Diagnosis, Treatment, and Use of Laparoscopy for Surgical Problems during Pregnancy, Practice/Clinical Guidelines published on: 01/2011. by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES).

6. Curet MJ, Alen D, et al., Laparoscopy during pregnancy, Arch Surg 1996;546–550.

7. Lachman E, Schienfeld A, Voss E, et al. Pregnancy and laparoscopic surgery, Journal American Assoc Gynecol Laparosc 1999;6:347–351.

8. Ludvik P, Strašpilka J, Laparoskopická apendektomie u těhotných – kazuistiky, Rozhl Chir 2001;80:521–522.

9. Lubušký M, Lubušká L, Procházka M. Komplikovaný průběh apendicitidy v graviditě, Gynekolog 2004;13:164–165.

10. Šubrt Z, Ferko A, Oberaiter M. Plánovaná klasická versus laparoskopicky asistovaná apendektomie u žen. Retrospektivní studie, Rozhl Chir 2005;84:233–237.