TY - CHAP M1 - Book, Section TI - Chapter 25. Surgical Disorders in Pregnancy A1 - Speichinger, Ella A1 - Holschneider, Christine H. A2 - DeCherney, Alan H. A2 - Nathan, Lauren A2 - Laufer, Neri A2 - Roman, Ashley S. Y1 - 2013 N1 - T2 - CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e AB - The incidence of surgical disease is the same in pregnant and nonpregnant patients. A total of 1.5–2% of all pregnancies undergo nonobstetric surgical intervention. Presenting symptoms of surgical diseases are often similar in pregnant and nonpregnant patients. The most common surgical disorders in pregnancy are appendicitis, cholecystitis, intestinal obstruction, adnexal torsion, trauma, and cervical and breast disease. Limited imaging can be performed during pregnancy if results would significantly alter management. The second trimester is the preferred time for nonurgent surgery. Surgery should not be delayed in any trimester if systemic infection or severe disease is suspected, as this is associated with higher risk to mother and fetus. Whenever possible, regional anesthesia should be performed. Pregnancy does not change prognosis, which depends largely on the extent of disease at diagnosis. A multidisciplinary approach with maternal–fetal medicine, surgery, anesthesia, and neonatology during treatment planning is invaluable to ensure optimal outcomes for both the mother and fetus. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - obgyn.mhmedical.com/content.aspx?aid=56968803 ER -