Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16350
Title: Laparoscopic or open appendicectomy for suspected appendicitis in pregnancy and evaluation of foetal outcome in Australia
Austin Authors: Winter, Nicole N;Guest, Glenn D;Bozin, Michael;Thomson, Benjamin N;Mann, G Bruce;Tan, Stephanie BM;Clark, David A;Daruwalla, Jurstine;Muralidharan, Vijayaragavan ;Najan, Neeha;Pitcher, Meron E;Vilhelm, Karina;Cox, Michael R;Lane, Steven E;Watters, David A
Affiliation: Department of Surgery, Barwon Health, Geelong, Victoria, Australia
Department of Specialist General Surgery, The Royal Melbourne Hospital, Parkville, Victoria, Australia
Breast Service, The Royal Women's Hospital, The University of Melbourne, Parkville, Victoria, Australia
Department of Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
Department of Surgery, Austin Health, The University of Melbourne, Heidelberg, Victoria, Australia
Department of Surgery, Western Health, Footscray, Victoria, Australia
Department of Surgery, Nepean Hospital, Kingswood, NSW, Australia
Department of Surgery, University of Sydney Clinical School, Nepean Hospital, Kingswood, NSW, Australia
Biostatistics Unit, Barwon Health, Geelong, Victoria, Australia
School of Medicine, Deakin University, Geelong, Victoria, Australia
Department of Surgery, Barwon Health, Deakin University, Geelong, Victoria, Australia
Issue Date: May-2017
metadata.dc.date: 2016-09-06
Publication information: ANZ Journal of Surgery 2017; 87(5): 334-338
Abstract: BACKGROUND: Recent data suggest that laparoscopic appendicectomy (LA) in pregnancy is associated with higher rates of foetal loss when compared to open appendicectomy (OA). However, the influence of gestational age and maternal age, both recognized risk factors for foetal loss, was not assessed. METHOD: This was a multicentre retrospective review of all pregnant patients who underwent appendicectomy for suspected appendicitis from 2000 to 2012 across seven hospitals in Australia. Perioperative data and foetal outcome were evaluated. RESULTS: Data on 218 patients from the seven hospitals were included in the analysis. A total of 125 underwent LA and 93 OA. There were seven (5.6%) foetal losses in the LA group, six of which occurred in the first trimester, and none in the OA group. After matching using propensity scores, the estimated risk difference was 5.1% (95% confidence interval (CI): 1.4%, 9.8%). First trimester patients were more likely to undergo LA (84%), while those in the third were more likely to undergo OA (85%). Preterm delivery rates (6.8% LA versus 8.6% OA; CI: -12.6%, 5.3%) and hospital length of stay (3.7 days LA versus 4.5 days OA; CI: -1.3, 0.2 days) were similar. CONCLUSION: This is the largest published dataset investigating the outcome after LA versus OA while adjusting for gestational and maternal age. OA appears to be a safer approach for pregnant patients with suspected appendicitis.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16350
DOI: 10.1111/ans.13750
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/27598241
Type: Journal Article
Subjects: Appendicitis
Laparoscopic appendicectomy
Open appendicectomy
Pregnancy
Appears in Collections:Journal articles

Show full item record

Google ScholarTM

Check


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.