title: [The results of open and laparoscopic appendectomy in pregnant women with acute appendicitis].
abstract: OBJECTIVE
  To compare conventional and laparoscopic appendectomy in pregnant women.
  
  
  METHODS
  The study included 86 patients with acute appendicitis who were surgically treated. In group 1 (42 women) laparoscopic approach was used, in group 2 (44 patients) - laparotomy.
  
  
  RESULTS
  Postoperative complications were observed in 2 (4.8%) and 3 (6.8%) patients in groups 1 and 2 respectively. All complications related to Clavien-Dindo class I-II. There were no premature births and abortions in laparoscopy group. In case of conventional surgery premature births and abortions were observed in 2 (4.5%) and 1 (2.27%) observations respectively. Other women had timely childbirth in terms of 36-41 weeks.
  
  
  CONCLUSIONS
  Risk of delay exceeds risk of vain appendectomy. All pregnant women with acute appendicitis should be examined by obstetrician-gynaecologist, surgeon, urologist, anesthesiologist. If acute appendicitis can not be excluded based on clinical data the patient should be operated. Diagnostic laparoscopy and laparoscopic appendectomy are advisable in case of pregnancy up to 24 weeks. Woman should be under observation of obstetrician-gynaecologist in perioperative period to prevent premature birth and abortion.
authors.affiliation: Clinical Hospital "Lapino".
authors.forename: A V
authors.initials: AV
authors.lastname: Panin
authors.affiliation: Clinical Hospital "Lapino"; Chair of Surgery, Faculty of Fundamental Medicine, M.V. Lomonosov Moscow State University.
authors.forename: A V
authors.initials: AV
authors.lastname: Dubrovsky
authors.affiliation: Chair of Surgery, Faculty of Fundamental Medicine, M.V. Lomonosov Moscow State University.
authors.forename: D Yu
authors.initials: DY
authors.lastname: Petrov
authors.affiliation: A.V.Vishnevsky Institute of Surgery.
authors.forename: A V
authors.initials: AV
authors.lastname: Smirnov
mesh_terms: D000328:Adult; D001062:Appendectomy / Q000009:adverse effects / Q000379:methods; D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery; D042241:Early Diagnosis; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D018579:Patient Selection; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000601:surgery; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D016896:Treatment Outcome