Laparoscopic appendicectomy in pregnancy: a systematic review of the published evidence

Abstract

Surgical intervention for acute appendicitis during pregnancy carries significant risk to both mother and foetus. The safety of Laparoscopic Appendicectomy in pregnancy has been a matter of debate among clinicians. We have critically reviewed the available published evidence in regards with this debate.

Conclusion: There is no strong current evidence as to the preferred modality of appendicectomy; open or laparoscopic, during pregnancy from the prospect of foetal or maternal safety. However, low grade evidence shows that laparoscopic appendicectomy during pregnancy might be associated with higher rates of foetal loss.

Keywords: Appendicitis; Appendicitis in pregnancy; Laparoscopy in pregnancy and laparoscopic appendicectomy/appendectomy.