Evidence map›Paper›PMID 37099158›Full record

ArticleSurgical endoscopy2023

Open versus laparoscopic appendectomy for acute appendicitis in pregnancy: a population-based study.

Edgar Lipping, Sten Saar, Kristiina Rull, Airi Tark, Mari Tiiman, Liis Jaanimäe, Urmas Lepner, Peep Talving

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Edgar LippingDivision of Acute Care Surgery, North Estonia Medical Centre, J. Sütiste Tee 19, 13419, Tallinn, Estonia. elipping@gmail.com.ORCID http://orcid.org/0000-0002-9593-5460
Sten SaarDivision of Acute Care Surgery, North Estonia Medical Centre, J. Sütiste Tee 19, 13419, Tallinn, Estonia.
Kristiina RullFaculty of Medicine, University of Tartu, Tartu, Estonia.
Airi TarkCentre of General and Oncological Surgery, East Tallinn Central Hospital, Tallinn, Estonia.
Mari TiimanDivision of Obstetrics and Gynecology, West Tallinn Central Hospital, Tallinn, Estonia.
Liis JaanimäeFaculty of Medicine, University of Tartu, Tartu, Estonia.
Urmas LepnerFaculty of Medicine, University of Tartu, Tartu, Estonia.
Peep TalvingDivision of Acute Care Surgery, North Estonia Medical Centre, J. Sütiste Tee 19, 13419, Tallinn, Estonia.
North Estonia Medical Centre · EEEast Tallinn Central Hospital · EETartu University Hospital · EEUniversity of Tartu · EE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic appendectomy (LA) is the standard treatment for acute appendicitis (AA) in general population. However, the safety of LA during pregnancy has remained a matter of debate. The purpose of this study was to compare surgical and obstetrical outcomes in pregnant women who underwent LA vs. open appendectomy (OA) for AA. We hypothesized that LA results in improved surgical and obstetric outcomes during pregnancy.

methodsUsing a nationwide claim-based database in Estonia, a retrospective review of all cases of pregnant women undergoing OA or LA for AA from 2010 to 2020 was performed. Patient characteristics, surgical and obstetrical outcomes were analyzed. Primary outcomes were preterm delivery, fetal loss and perinatal mortality. Secondary outcomes included operative time, hospital length of stay (HLOS) and 30-day postoperative complications.

resultsOverall, 102 patients were included of whom 68 (67%) underwent OA and 34 patients (33%) LA, respectively. Patients in LA cohort had a significantly shorter length of pregnancy in terms of gestational weeks when compared to OA cohort (12 weeks versus 17 weeks, p = 0.002). Most of the patients in their 3

conclusionsLaparoscopic appendectomy for acute appendicitis was associated with a significantly shorter operative time and a shorter hospital length of stay while open and laparoscopic appendectomy cohorts experienced comparable obstetrical outcomes. Our findings support the laparoscopic approach for acute appendicitis in pregnancy.

Indexed as

AppendicitisLaparoscopyAcute DiseaseAppendectomyFemaleHumansInfant, NewbornLength of StayPostoperative ComplicationsPregnancyRetrospective StudiesTreatment OutcomeAppendectomyAppendicitisFetal lossPregnancy

Identifiers

PMID37099158
OpenAlexW4367047653

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.