Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
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:
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.
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

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.

Keywords: Pregnancy, Laparoscopy, Surgery

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.