Abstract
Objective: To evaluate the best surgical approach for the appendicitis during pregnancy in all trimesters. Methods: Systematic review conducted in MEDLINE® Cochrane, EMBASE and LILACS database up to February 16th, 2020. Articles were selected according to study type, type of intervention and outcomes. Articles were selected by more than one researcher based on title, abstract and full text. The SIGN checklist was used for bias assessment. Results: A total of 55 articles were retrieved from MEDLINE® via Pubmed, Cochrane, LILACS and EMBASE. Sixteen studies were elected for full text reading, and fifteen of them were selected for the concluding paper evaluation. Conclusion: Articles revealed higher effi cacy in the laparoscopic appendectomy when compared to conventional open appendectomy in all trimesters.
Highlights
IntroductionAcute appendicitis is the most frequent medical condition that requires surgical intervention during pregnancy
The safety of the laparoscopic approach forAcute appendicitis is the most frequent medical condition that requires surgical intervention during pregnancy
A total of 55 articles were retrieved from MEDLINE® appendicitis, appendectomies remain the standard via Pubmed, Cochrane, LILACS and EMBASE
Summary
Acute appendicitis is the most frequent medical condition that requires surgical intervention during pregnancy. The incidence of acute appendicitis during pregnancy rages from 1.8 to 41 per 10 000 pregnancies, specially during the second trimester. The best signs include pain that starts in the right lower quadrant or that irradiates from peri pregnant women has been widely discussed in the past ten years. Most of those studies were single institution researches or with limited number of patients. Some provided low-grade evidence that laparoscopic approach in pregnant women might be associated with a greater risk of fetal loss, of preterm delivery and technical difficulties in the laparoscopic appendectomy[5]
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