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[Cholecystectomy during pregnancy]

E Bonfante Ramírez1, R Bolaños Ancona, L Juárez García

  • 1Instituto Nacional de Perinatología, Méx., D.F.

Ginecologia Y Obstetricia De Mexico
|July 29, 1998
PubMed
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Cholecystectomy during pregnancy, the second leading cause of laparotomy, occurred in 1 of 8780 deliveries. While preterm labor was common, severe maternal complications were absent, though fetal loss was significant.

Area of Science:

  • Obstetrics and Gynecology
  • Surgical Gastroenterology

Background:

  • Cholecystectomy during pregnancy is the second most common reason for laparotomy.
  • The incidence ranges from 1 in 1250 to 12,500 pregnancies.

Purpose of the Study:

  • To determine the frequency and outcomes of cholecystectomy during pregnancy.
  • To analyze maternal and fetal complications associated with the procedure.

Main Methods:

  • Retrospective study conducted from January 1989 to December 1994.
  • Analysis of 35,080 deliveries, identifying four cases of cholecystectomy during pregnancy.

Main Results:

  • The estimated frequency was 1 cholecystectomy per 8780 deliveries.
  • Average maternal age was 20.2 years; surgery occurred between 17 and 23.4 weeks gestation.

Related Experiment Videos

  • Preterm labor was the most frequent complication; 3 fetal losses occurred, with only 2 deliveries at term.

    • Conclusions:

    • Cholecystectomy during pregnancy is a significant surgical consideration.
    • While maternal complications were not severe, fetal outcomes require careful management, with a reported 50% fetal death rate in this review.