A recent study published by Shigemi et al. on Journal of Minimally Invasive Gynecology compared fetal, maternal, and operative outcomes of laparoscopic surgery versus laparotomy for major benign diseases including appendicitis, cholecystitis, adnexal masses, and uterine myoma during pregnancy.
6,018 eligible patients underwent abdominal surgery (4,047 laparotomy and 1,971 laparoscopy patients). The 2 groups were compared using propensity score matching analysis.
Significant difference was observed for fetal adverse events (abortion or stillbirth within 7 days after surgery and premature delivery during hospitalization) between propensity score-matched patients in the laparotomy versus laparoscopy group. Compared with the laparotomy group, the laparoscopy group had a significantly lower incidence of blood transfusion, shorter operative time, and shorter hospital stay
This study suggests the advantages of laparoscopic surgery for benign diseases compared to laparotomy, even during pregnancy.
Read the abstract of the study.
Author: Antonio Simone Laganà, Scientific Director ISE