[Non-obstetric surgery during pregnancy]

Area of Science:

• Gastroenterology and Obstetrics
• Surgical Management of Pregnancy Complications

Context:

• Abdominal diseases like appendicitis, cholecystitis, and adnexal masses are rare but serious during pregnancy.
• These conditions pose significant risks to both the pregnant individual and the fetus.

Purpose:

• To synthesize current knowledge on diagnosing and treating abdominal emergencies in pregnancy.
• To outline diagnostic and therapeutic strategies for these conditions.

Summary:

• Appendicitis diagnosis in pregnancy is challenging; appendectomy should not be delayed once confirmed.
• Ultrasonography aids in diagnosing adnexal masses and cholecystitis; cholecystolithiasis symptoms are similar to non-pregnant states.
• Treatment for adnexal masses and cholecystitis involves specific algorithms and depends on inflammation, treatment response, and recurrence, with surgical timing critical.

Impact:

• Provides a framework for managing critical abdominal conditions during gestation.
• Emphasizes the importance of individualized treatment plans and safe surgical timing.
• Aims to improve outcomes for pregnant individuals and fetuses facing abdominal surgical emergencies.