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2013, Number 6

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Cir Cir 2013; 81 (6)

Laparoscopic appendectomy in early pregnancy. A case report and literature review

Girón-Villalobos E, Aviña-Valencia JA, Esperón-Lorenzana GI, Ramírez-Padilla L, Franco-Valencia M, Trejo-Suárez J

Language: Spanish
References: 40
Page: 538-543
PDF size: 486.28 Kb.


ABSTRACT

Background: Acute appendicitis is the most common surgical disease during pregnancy, with potential risk of obstetric complications if not treated promptly. The approach of surgical resolution has been controversial over the years, since the introduction of laparoscopy, as the open procedure is currently being displaced by laparoscopic in any trimester of pregnancy, but there are reports in the literature about postoperative complications like injury of gravid uterus and fetal loss, more important in the first trimester pregnancy.
Clinical case: In this study we describe a case of 27 year old female diagnosed with acute appendicitis and 4.3 weeks pregnancy confirmed by ultrasound, which was operated by laparoscopy at the Xoco General Hospital de la Secretaría de Salud del Distrito Federal, finding an edematous appendix with abscess at the tip and an increase size uterine evident in laparoscopy, appendectomy and drying cavity were performed. Evolves without early complications in the postoperative period neither abdominal nor obstetric with optimum following on the pregnancy without evidence of complications.
Conclusions: We found in this study the safety of laparoscopy in the first trimester of pregnancy because the results in the postoperative period are adequate and do not affect both mother and neonate long term.


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