World Journal of Surgery

, Volume 36, Issue 4, pp 767–770 | Cite as

Laparoscopic Appendectomy in Pregnant Women: Experience in Chittagong, Bangladesh

  • Md. Jafrul HannanEmail author
  • Md. Mozammel Hoque
  • Lutfun Naher Begum



Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendicitis, and laparoscopy is considered as safe as the open method, for both mother and fetus. The aim of the present study was to emphasize the feasibility of laparoscopic appendectomy during pregnancy in a developing country, and also to report the first study of its kind from Bangladesh.

Materials and methods

From 7 October 2005 to 6 October 2010, 31 pregnant women were diagnosed with acute appendicitis. Diagnoses were based on clinical suspicion supported by ultrasonogram. Under general endotracheal anesthesia, laparoscopy was done in all 31 cases. One gynecologist was always present to monitor the conditions of the fetus preoperatively and postoperatively. Feeding was allowed 6 h after surgery, and the majority of the patients were discharged on the second postoperative day. Age, gestational period, operative time, hospital stay, maternal and fetal outcome, and complications were evaluated.


Age ranged from 19 to 35 years and gestational period ranged from 6 to 31 weeks. Right lower quadrant pain was the presenting complaint in majority of cases. Average operative time was 34 ± 10.19 min, and there were no conversions to open surgery. There were no intraoperative or immediate postoperative hazards. Postoperative recovery was uneventful in all cases. Histopathology of 30 cases confirmed appendicitis. One patient, whose fetus was at 12 weeks gestation at the time of the appendectomy had a spontaneous abortion 1 month later. There were no adverse outcomes during the follow-up period.


Laparoscopy is a safe and effective technique for the treatment of appendicitis during pregnancy and can be performed in a developing country.


Appendicitis Acute Appendicitis Spontaneous Abortion Laparoscopic Appendectomy Open Appendectomy 
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  1. 1.
    Wu JM, Chen KH, Lin HF et al (2005) Laparoscopic appendectomy in pregnancy. J Laparoendosc Adv Surg Tech 15:447–450CrossRefGoogle Scholar
  2. 2.
    Wullstein C, Barkhausen S, Gross E (2001) Results of laparoscopic vs. conventional appendectomy in complicated appendicitis. Dis Colon Rectum 44:1700–1705PubMedCrossRefGoogle Scholar
  3. 3.
    Marzouk M, Khater M, Elsadek M et al (2003) Laparoscopic versus open appendectomy: a prospective comparative study of 227 patients. Surg Endosc 17:721–724PubMedCrossRefGoogle Scholar
  4. 4.
    Guller U, Hervey S, Purves H et al (2004) Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 239:43–52PubMedCrossRefGoogle Scholar
  5. 5.
    Kammerer WS (1979) Nonobstetric surgery during pregnancy. Med Clin North Am 63:1157–1164PubMedGoogle Scholar
  6. 6.
    Kort B, Katz VL, Watson WJ (1993) The effect of nonobstetric operation during pregnancy. Surg Gynecol Obstet 177:371–376PubMedGoogle Scholar
  7. 7.
    Fallon WF, Newman JS, Gallon GL et al (1995) The surgical management of intra-abdominal inflammatory conditions during pregnancy. Surg Clin North Am 75:15–31PubMedGoogle Scholar
  8. 8.
    Palanivelu C, Rangarajan M, Senthilkumaran S et al (2007) Safety and efficacy of laparoscopic surgery in pregnancy: experience of a single institution. J Laparoendosc Adv Surg Tech 17:186–191CrossRefGoogle Scholar
  9. 9.
    Mahmoodian S (1992) Appendicitis complicating pregnancy. South Med J 85:19–24PubMedCrossRefGoogle Scholar
  10. 10.
    Reedy MB, Gala HL, Richards WE et al (1997) Laparoscopy during pregnancy. A survey of laparoendoscopic surgeons. J Reprod Med 42:33–38PubMedGoogle Scholar
  11. 11.
    Curet MJ, Allen D, Josloff RK et al (1996) Laparoscopy during pregnancy. Arch Surg 131:546–550 discussion 550–551PubMedCrossRefGoogle Scholar
  12. 12.
    Andreoli M, Kelly-Sayegh S, Hoefer R et al (1999) Laparoscopic surgery during pregnancy. J Am Assoc Gynecol Laparosc 6:229–233PubMedCrossRefGoogle Scholar
  13. 13.
    Guidelines for laparoscopic surgery during pregnancy (1998). Surg Endosc 12:189–190Google Scholar
  14. 14.
    Oelsner G, Stockheim D, Soriano D et al (2003) Pregnancy outcome after laparoscopy or laparotomy in pregnancy. J Am Assoc Gynecol Laparosc 10:200–204PubMedCrossRefGoogle Scholar
  15. 15.
    Reedy MB, Kallen B, Kuehl TJ (1997) Laparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 177:673–679PubMedCrossRefGoogle Scholar
  16. 16.
    Curet MJ (2000) Special problems in laparoscopic surgery. Previous abdominal surgery, obesity, and pregnancy. Surg Clin North Am 80:1093–1110PubMedCrossRefGoogle Scholar
  17. 17.
    Rizzo AG (2003) Laparoscopic surgery in pregnancy: long-term follow-up. J Laparoendosc Adv Surg Tech A 13:11–15PubMedCrossRefGoogle Scholar
  18. 18.
    Fatum M, Rojansky N (2001) Laparoscopic surgery during pregnancy. Obstet Gynecol Surv 56:50–59PubMedCrossRefGoogle Scholar
  19. 19.
    Arvidsson D, Gerdin E (1991) Laparoscopic cholecystectomy during pregnancy. Surg Laparosc Endosc 1:193–194PubMedGoogle Scholar
  20. 20.
    Johnson CE, Elder JS, Judge NE et al (1992) The accuracy of antenatal ultrasonography in identifying renal abnormalities. Am J Dis Child 146:1181–1184PubMedGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2012

Authors and Affiliations

  • Md. Jafrul Hannan
    • 1
    Email author
  • Md. Mozammel Hoque
    • 1
  • Lutfun Naher Begum
    • 2
  1. 1.Department of Pediatric SurgeryChattagram Maa-O-Shishu Hospital Medical CollegeChittagongBangladesh
  2. 2.Department of Obstetrics and GynecologyChattagram Maa-O-Shishu Hospital Medical CollegeChittagongBangladesh

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