Clinical scienceThe use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy
Section snippets
Methods
This study was conducted as a single-center retrospective review of all pregnant women who underwent a nonobstetric abdominal procedure between January 1, 1993 and June 30, 2007. This study was approved by the Institutional Review Board of the University of Texas Health Science Center at San Antonio (UTHSCSA).
Subjects were identified through a query of the University Hospital Medical Records for all ICD-9 and CPT codes with modifiers for pregnancy coinciding with a nonobstetric abdominal
Results
A total of 94 subjects were identified (Table 1). Of these, 53 underwent laparoscopic procedures and 41 underwent open procedures. Laparoscopic procedures included appendectomy, cholecystectomy, and salpingectomy/ovarian cystectomy; open procedures included appendectomy and cholecystectomy. Postoperative lengths of stay were not significantly different between groups. Most both the laparoscopic and open procedures were performed in either the first or second trimester of pregnancy. There was a
Comments
The advantages of laparoscopic procedures over open procedures in the general population are well described. These include reduced postoperative pain, shorter length of hospital stay, a decreased incidence of thromboembolic events, faster recovery, improved cosmesis, and decreased rates of postoperative ileus.12 For these reasons, laparoscopy has become the preferred method for many surgical procedures, including cholecystectomy and appendectomy. Despite this, some surgeons are reluctant to
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