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Published in:

01-06-2015

Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome

Authors: Han-Tsung Cheng, Yu-Chun Wang, Hung-Chieh Lo, Li-Ting Su, Khay-Seng Soh, Chia-Wei Tzeng, Shih-Chi Wu, Fung-Chang Sung, Chi-Hsun Hsieh

Published in: Surgical Endoscopy | Issue 6/2015

Abstract

Background

Laparoscopic appendectomy (LA) is the standard treatment of acute appendicitis for the general population; however, there is still some doubt regarding its safety for pregnant patients. Therefore, the purpose of this study is to investigate and compare the maternal outcome of pregnant patients with acute appendicitis following either an open appendectomy (OA) or LA from a population-based database.

Methods

This study is based on the National Health Insurance Research Database. Patients with both ICD-9-CM codes for appendicitis (540.9, 540.0, and 540.1) and pregnancy (V22) in the same admission were considered to have acute appendicitis during pregnancy. These patients were divided into three groups according to the type of treatment: LA, OA, and non-operative treatment. Outcome measures that were compared between the groups included maternal complications such as preterm labor, abortion, and the need of cesarean section. Besides, the differences of medical expenditure and length of hospital stay between the groups were also analyzed.

Results

From 2005 to 2010, a total of 859 pregnant women who had acute appendicitis were identified. They had increased risks for preterm labor, abortion, and increased requirement of cesarean section compared to the control group (i.e., those without acute appendicitis). Among the three groups, the non-operated group has the highest risk of preterm labor. Patients who underwent LA did not have any increased risk of maternal complications compared to the OA group. Furthermore, LA patients had shorter hospital stay than OA.

Conclusion

Compared to non-operative treatment, appendectomy is the preferred treatment for pregnant patients who have acute appendicitis. LA can be performed safely in pregnant patients without bringing additional maternal complications compared to OA.

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Title: Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome
Authors: Han-Tsung Cheng
Yu-Chun Wang
Hung-Chieh Lo
Li-Ting Su
Khay-Seng Soh
Chia-Wei Tzeng
Shih-Chi Wu
Fung-Chang Sung
Chi-Hsun Hsieh
Publication date: 01-06-2015
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 6/2015
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-014-3810-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic appendectomy versus open appendectomy in pregnancy: a population-based analysis of maternal outcome

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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