Acute appendicitis during pregnancy

Abstract

Between 2000-2006, in the 2^nd, Department of Surgery at the Medical College of the Jagiellonian University, we performed 4 laparoscopic appendectomies in pregnant patients with acute appendicitis. Diagnostic difficulties in relation to the progression of pregnancy are discussed. Our own experience and the use of laparoscopic technique are also presented. We have evaluated the possible influence of operative management on the further development of the fetus. There were no complications related to the operative procedure. All pregnancies developed normally until delivery, which were either natural (3 patients) or cesarean (1 patient, due to obstetrical indications). We conclude, therefore, that laparoscopic appendectomy seems to be a safe approach both for mother and baby during any trimester of pregnancy.