George PE, Shwaartz C, Divino CM. Laparoscopic surgery in pregnancy. World J Obstet Gynecol 2016; 5(2): 175-181 [DOI: 10.5317/wjog.v5.i2.175]
Corresponding Author of This Article
Celia Divino, MD, Chief, Division of General Surgery, Department of Surgery, Icahn School of Medicine, the Mount Sinai Medical Center, 1 Gustave L. Levy Place, Box 1041, New York, NY 10029, United States. celia.divino@mssm.edu
Research Domain of This Article
Obstetrics & Gynecology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Obstet Gynecol. May 10, 2016; 5(2): 175-181 Published online May 10, 2016. doi: 10.5317/wjog.v5.i2.175
Laparoscopic surgery in pregnancy
Philip E George, Chaya Shwaartz, Celia M Divino
Philip E George, Chaya Shwaartz, Celia M Divino, Division of General Surgery, Department of Surgery, Icahn School of Medicine, the Mount Sinai Medical Center, New York, NY 10029, United States
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest. No financial support.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Celia Divino, MD, Chief, Division of General Surgery, Department of Surgery, Icahn School of Medicine, the Mount Sinai Medical Center, 1 Gustave L. Levy Place, Box 1041, New York, NY 10029, United States. celia.divino@mssm.edu
Telephone: +1-212-2415499 Fax: +1-212-4100111
Received: December 4, 2015 Peer-review started: December 5, 2015 First decision: January 14, 2016 Revised: March 29, 2016 Accepted: April 14, 2016 Article in press: April 18, 2016 Published online: May 10, 2016
Abstract
Each year, roughly 2% of pregnant women will undergo non-obstetrical abdominal surgery. Appendicitis, symptomatic cholelithiasis and adnexal masses are some of the common diagnoses encountered. Pregnancy poses challenges in the diagnosis and surgical management of these conditions for several reasons. Since the 1990’s, laparoscopic surgery has gained popularity and in the past few years has become the standard of care for pregnant women with surgical pathologies. The advantages of laparoscopic surgery include shorter hospital stay, lower rates of wound infection, and decreased time to bowel function. This brief review discusses key points in laparoscopic surgery during pregnancy and highlights studies comparing laparoscopic and open approaches in common surgical conditions during pregnancy.
Core tip: Laparoscopic surgery is increasingly common in pregnancy. The indications for surgery are similar to non-pregnant patients in the same age population. The benefits of laparoscopic surgery include decreased length of staying, lower rates of wound infection and ventral hernia apply to pregnant patients as well. This brief review highlights studies comparing laparoscopic surgery to open approach in common clinical scenarios.
