RT Book, Section
A1 Speichinger, Ella
A1 Holschneider, Christine H.
A2 DeCherney, Alan H.
A2 Nathan, Lauren
A2 Laufer, Neri
A2 Roman, Ashley S.
SR Print(0)
ID 1159955856
T1 Surgical Disorders in Pregnancy
T2 CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9780071833905
LK obgyn.mhmedical.com/content.aspx?aid=1159955856
RD 2024/04/19
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.  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.