Facts, Views & Vision
in ObGyn

Journal of the European Society for Gynaecological Endoscopy

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Evidence-Based Guideline on Laparoscopy in Pregnancy

E. Ball 1 , N. Waters 2 , N. Cooper 1 ,C. Talati 3 , R. Mallick 4 , S. Rabas 5 , A. Mukherjee 6 , Y. Sri Ranjan 7 , M. Thaha 1 , R. Doodia 8 , R. Keedwell 9 , M. Madhra 10 , N. Kuruba 11 , R. Malhas 12 , E. Gaughan 13 , K. Tompsett 1 , H.Gibson 14 , H. Wright 15 , C. Gnanachandran 16 , T. Hookaway 18 , C. Baker 19 , K. Murali 20 , D. Jurkovic 21 , N. Amso 22 , J. Clark 23 , S. Thangaratinam 5 , T. Chalhoub 24 , P. Kaloo 25 , E. SaridogaN 21

1 Royal London Hospital;
2 Royal Surrey County Hospital NHS Trust;
3 Homerton Hospital;
4 Brighton and Sussex University Hospitals NHS Trust;
5 Queen’s Hospital London and King George Hospital;
6 Northwick Park Hospital;
7 Chelsea and Westminster Hospital;
8 John Radcliffe Hospital;
9 Royal Cornwall Hospitals NHS Trust;
10 Royal Infirmary of Edinburgh;
11 Norfolk and Norwich University Hospital;
12 Walsall Manor Hospital;
13 Rotunda Hospital, Dublin;
14 Barking, Havering and Redbridge University Hospitals NHS Trust;
15 North Manchester General Hospital;
16 Northampton General Hospital;
17 Royal Gwent Hospital Aneurin Bevan Health Board;
18 Plymouth Hospitals NHS Trust;
19 Poole Hospital;
20 Salisbury District and General Hospital;
21 University College Hospital;
22 Cardiff University School of Medicine;
23 Birmingham Women’s Hospital;
24 Royal Victoria Infirmary;
25 Gloucestershire Hospitals NHS Foundation Trust.

Keywords:

Laparoscopy in pregnancy, Appendicitis in pregnancy, Gallbladder disease / Cholecystitis in pregnancy, Benign adnexal tumours / Ovarian cysts in pregnancy.


Published online: Oct 03 2019

Abstract

Laparoscopy is widely utilised to diagnose and treat acute and chronic, gynaecological and general surgical conditions. It has only been in recent years that laparoscopy has become an acceptable surgical alternative to open surgery in pregnancy. To date there is little clinical guidance pertaining to laparoscopic surgery in pregnancy.

This is why the BSGE commissioned this guideline. MEDLINE, EMBASE, CINAHL and the Cochrane library were searched up to February 2017 and evidence was collated and graded following the NICE-approved process.

The conditions included in this guideline are laparoscopic management of acute appendicitis, acute gall bladder disease and symptomatic benign adnexal tumours in pregnancy.

The intended audience for this guideline is obstetricians and gynaecologists in secondary and tertiary care, general surgeons and anaesthetists. However, only laparoscopists who have adequate laparoscopic skills and who perform complex laparoscopic surgery regularly should undertake laparoscopy in pregnant women, since much of the evidence stems from specialised centres.

This article has been corrected in Facts Views Vis ObGyn. 2019; 11(3): 261

Download the corrected full article here: http://fvvo.be/assets/802/FVVinObGyn-11-5-r1.pdf