title: Laparoscopic surgery in pregnant patients with acute abdomen.
abstract: OBJECTIVE
  Notwithstanding the significant advantages compared to open surgery, laparoscopic surgery was considered to be contraindicated in pregnant patients. Currently, there are opposing views on the safety of laparoscopic surgery during pregnancy, especially in last trimester. The aim of this study was to examine feasibility of laparoscopic surgery in pregnant women with acute abdomen.
  
  
  METHODS
  We retrospectively reviewed records of all patients who were admitted to the Emergency Department of Cerrahpasa Medical Faculty between January 1995 and January 2013. All clinical data of pregnant patient who underwent laparoscopic surgery were analyzed including inpatient records, operative reports, pathology records, and delivery information.
  
  
  RESULTS
  Fourteen pregnant patients (mean gestational age 19.2 weeks, ranged from 9 to 33 weeks) who underwent laparoscopy for appendectomy (n=11), cholecystectomy (n=2), and diagnostic reasons (n=1) were included. Average time of delivery was 37.4 gestational weeks (range 35-40 weeks). Two patients had preterm labor. No complications such as uterine injury, fetal death, or maternal mortality were encountered during laparoscopic procedures
  
  
  CONCLUSIONS
  Laparoscopic surgery can be safely performed at all trimesters of pregnancy. Laparoscopy may be useful in differentiation of acute abdominal pain in pregnancy and may decrease fetal loss due to delay in diagnosis. shorter operative time reduces negative effects of surgery on mother and fetus.
authors.forename: Pinar Cigdem
authors.initials: PC
authors.lastname: Kocael
authors.forename: Osman
authors.initials: O
authors.lastname: Simsek
authors.forename: Kaya
authors.initials: K
authors.lastname: Saribeyoglu
authors.forename: Salih
authors.initials: S
authors.lastname: Pekmezci
authors.forename: Ertugrul
authors.initials: E
authors.lastname: Goksoy
mesh_terms: D000006:Abdomen, Acute / Q000601:surgery*; D000328:Adult; D001062:Appendectomy / Q000379:methods; D001064:Appendicitis / Q000601:surgery; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D041881:Cholecystitis, Acute / Q000601:surgery; D061887:Conversion to Open Surgery; D004630:Emergencies; D005240:Feasibility Studies; D005260:Female; D006785:Hospitals, University; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome; D014421:Turkey