ArticleWorld journal of surgery2021
Clinical Outcomes of Acute Appendicitis During Pregnancy: Conservative Management and Appendectomy.
Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Swedish national guidelines for diagnosis and management of acute appendicitis in adults and children.BJS open · 2025Guideline
- SAGES guidelines for the use of laparoscopy during pregnancy.Surgical endoscopy · 2024Guideline
- Antibiotic versus surgery in the treatment of acute appendicitis in the pregnant population: A systematic review and meta-analysis.F1000Research · 2023Pooled it
- EAES rapid guideline: systematic review, meta-analysis, GRADE assessment, and evidence-informed European recommendations on appendicitis in pregnancy.Surgical endoscopy · 2022Guideline
- Updated Evaluation of Laparoscopic vs. Open Appendicectomy During Pregnancy: A Systematic Review and Meta-Analysis.Frontiers in surgery · 2021Pooled it
- Laparoscopic and Robotic Appendectomy: Efficiency and Cost Comparison.Journal of surgery and research · 2026Article
- Epidemiological study of colovesical fistula as a complication of colonic diverticulitis in Japan: an analysis of claims data.Surgery today · 2026Article
- Gestational Age-Adapted Laparoscopic Appendectomy for Acute Appendicitis during Pregnancy: Intraoperative Strategies and Outcomes from a Single-Center Case Series.Surgical case reports · 2026Article
- Predictors of true appendicitis in pregnancy: a pathology-based 10-year cohort study.BMC surgery · 2025Article
- Impact of gestational age on the management of acute appendicitis during pregnancy: A nationwide observational study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Observational
- Conservative Treatment of Third Trimester Appendicitis Misdiagnosed as Round Ligament Pain. A Case Report and Review of the Literature in a Resource-Limited Setting.International journal of women's health · 2025Article
- Magnetic resonance imaging for acute appendicitis in pregnancy: can clinical scores predict when imaging is needed?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Using MRI appendicitis scale and DWI for the diagnosis of acute appendicitis in pregnant women.European radiology · 2024Article
- Current approaches to treating acute appendicitis in the third trimester.Trauma surgery & acute care open · 2024Article
- Imaging of Acute Abdominopelvic Pain in Pregnancy and Puerperium-Part II: Non-Obstetric Complications.Diagnostics (Basel, Switzerland) · 2023Review
- Development of a nomogram for the prediction of complicated appendicitis during pregnancy.BMC surgery · 2023Article
- The Current Status of Secondary Use of Claims, Electronic Medical Records, and Electronic Health Records in Epidemiology in Japan: Narrative Literature Review.JMIR medical informatics · 2023Review
- Trend in neuraxial morphine use and postoperative analgesia after cesarean delivery in Japan from 2005 to 2020.Scientific reports · 2022Article
- Clinical epidemiology and pharmacoepidemiology studies with real-world databases.Proceedings of the Japan Academy. Series B, Physical and biological sciences · 2022Review
- Composite Criteria for Non-Operative Management of Acute Non-Complicated Appendicitis Result in Low Failure Rates.World journal of surgery · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe have described the epidemiology, diagnostic modality, treatment patterns, and outcomes of acute appendicitis during pregnancy.
methodsUsing a nationwide claim-based database in Japan, we analyzed the data of pregnant patients who were diagnosed with appendicitis between January 2005 and May 2019. Patient characteristics, imaging studies, length of hospital stay, proportion of fetal losses, complications, and type of antibiotics were examined.
resultsThe study included 169 patients, of whom 113 patients (67%) underwent conservative management, and appendectomies were performed on 56 patients (open 25% and laparoscopic 8%). The proportion of ultrasonography, computed tomography, and magnetic resonance imaging were 97%, 17%, and 5% (for conservative management); 88%, 39%, and 13% (for appendectomy); 86%, 38%, and 21% (for open appendectomy); and 93%, 43%, and 14% (for laparoscopic appendectomy), respectively. The proportion of complicated appendicitis was 6% in conservative management and 41% in appendectomy (40% in open appendectomy and 43% in laparoscopic appendectomy), respectively. The incidence of fetal loss was 4% in conservative management, 5% in appendectomy (2% in open appendectomy, and 14% in laparoscopic appendectomy). However, there was only one fetal loss (in laparoscopic appendectomy) in the same case of hospitalization. There were no maternal deaths or serious complications after any treatment.
conclusionAll treatments showed acceptable outcomes in appendicitis during pregnancy. Conservative management is considered an acceptable option, especially in uncomplicated cases of appendicitis in pregnant women.
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Registered trials
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