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Single-port laparoscopic appendectomy for acute appendicitis during pregnancy

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Author(s)
In Soo ChoSung Uk BaeWoon Kyung JeongSeong Kyu Baek
Keimyung Author(s)
Bae, Sung UkJeong, Woon KyungBaek, Seong Kyu
Journal Title
Journal of minimal access surgery
Issued Date
2021
Keyword
Appendectomylaparoscopynatural orifice endoscopic surgerypregnancy
Abstract
Aim of study:
Acute appendicitis is the most common non-obstetric surgical problem in pregnant patients. As minimally invasive surgery has developed, minimising surgical trauma and improving cosmetic outcomes have led to the development of single-port laparoscopic surgery (SPLS). The aim of this study was to assess the feasibility and safety of SPLS for acute appendicitis during pregnancy.

Patients and methods:
Between September 2014 and May 2016, 12 pregnant patients diagnosed with acute appendicitis and having single-port laparoscopic appendectomy were included in the study.

Results:
The median gestational age at surgery was 16 weeks (6-30 weeks). All operations were completed safely and without vascular or visceral injury. Four patients (33.3%) required conversion to a reduced-port laparoscopic surgery with 3 patients (25%) having a 5 mm port inserted because of perforated appendicitis with drain placement, and 1 patient (8.3%) having a 2-mm needle instrument insertion. Median operation time was 60 min (32-100 min), and a drainage tube was placed in 5 patients (41.7%). Median total length of incision was 2 cm (1.2-2.5 cm). The median time to soft diet initiation and length of stay in the hospital were 1 day (0-9 days) and 5 days (2-11 days), respectively. Two patients (8.0%) developed post-operative complications: One wound site bleeding and two surgical site infections. One case of abortion (8.3%) was noted on the post-operative day 1 and one case of imperforate hymen was noted after delivery.

Conclusions:
SPLS appendectomy is feasible and safe for treating patients with acute appendicitis during pregnancy.
Keimyung Author(s)(Kor)
배성욱
정운경
백성규
Publisher
School of Medicine (의과대학)
Citation
In Soo Cho et al. (2021). Single-port laparoscopic appendectomy for acute appendicitis during pregnancy. Journal of minimal access surgery. doi: 10.4103/jmas.JMAS_193_19
Type
Article
ISSN
1998-3921
Source
http://www.journalofmas.com/preprintarticle.asp?id=274787;type=0
DOI
10.4103/jmas.JMAS_193_19
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/42736
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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