Non-obstetric surgery in pregnancy (including bowel surgery and gallbladder surgery)

J H C Arkenbosch; O van Ruler; A C de Vries

doi:10.1016/j.bpg.2020.101669

Non-obstetric surgery in pregnancy (including bowel surgery and gallbladder surgery)

Best Pract Res Clin Gastroenterol. 2020 Feb-Apr:44-45:101669. doi: 10.1016/j.bpg.2020.101669. Epub 2020 Mar 6.

Authors

J H C Arkenbosch¹, O van Ruler², A C de Vries³

Affiliations

¹ Department of Gastroenterology and Hepatology, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, the Netherlands. Electronic address: j.arkenbosch@erasmusmc.nl.
² Department of Surgery, IJsselland Hospital, Prins Constantijnweg 2, Room M1-109, 2906 ZC, Capelle aan den IJssel, the Netherlands. Electronic address: ovruler@ysl.nl.
³ Department of Gastroenterology and Hepatology, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, the Netherlands. Electronic address: a.c.devries@erasmusmc.nl.

PMID: 32359684
DOI: 10.1016/j.bpg.2020.101669

Abstract

Non-obstetric surgery during pregnancy is required in 0.75-2% of pregnancies. Physiologic changes during pregnancy, both hormonal and anatomic, can have interactions with surgery and anesthesia. Indication, timing as well as risks of anesthesia and surgery should be considered in surgical decision making. The health status of the mother should always be put first. A preoperative multidisciplinary approach, also including an obstetrician and neonatologist, is mandatory. Delay in diagnosis and treatment carry risks of complications in all septic visceral indications. Considerations should be individualized.

Keywords: Appendectomy; Cholecystectomy; Gastrointestinal; IBD; Laparoscopy; Laparotomy; Non-obstetric; Pregnancy; Surgery.

Publication types

Review

MeSH terms

Female
Gallbladder / pathology
Gallbladder / surgery*
Humans
Inflammatory Bowel Diseases / surgery*
Pregnancy
Pregnancy Complications / surgery*