Laparoscopic Appendectomy in Pregnant Women: Experience in Chittagong, Bangladesh Md. Jafrul Hannan • Md. Mozammel Hoque • Lutfun Naher Begum Published online: 7 February 2012 Ó Socie ´te ´ Internationale de Chirurgie 2012 Abstract Background Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendicitis, and laparoscopy is considered as safe as the open method, for both mother and fetus. The aim of the present study was to emphasize the feasibility of laparoscopic appendectomy during pregnancy in a developing country, and also to report the first study of its kind from Bangladesh. Materials and methods From 7 October 2005 to 6 October 2010, 31 pregnant women were diagnosed with acute appendicitis. Diagnoses were based on clinical suspicion supported by ultrasonogram. Under general endotracheal anesthesia, laparoscopy was done in all 31 cases. One gynecologist was always present to monitor the conditions of the fetus preoperatively and postoperatively. Feeding was allowed 6 h after surgery, and the majority of the patients were discharged on the second postoperative day. Age, gestational period, operative time, hospital stay, maternal and fetal outcome, and complications were evaluated. Results Age ranged from 19 to 35 years and gestational period ranged from 6 to 31 weeks. Right lower quadrant pain was the presenting complaint in majority of cases. Average operative time was 34 ± 10.19 min, and there were no conversions to open surgery. There were no intraoperative or immediate postoperative hazards. Post- operative recovery was uneventful in all cases. Histopathology of 30 cases confirmed appendicitis. One patient, whose fetus was at 12 weeks gestation at the time of the appendectomy had a spontaneous abortion 1 month later. There were no adverse outcomes during the follow- up period. Conclusions Laparoscopy is a safe and effective tech- nique for the treatment of appendicitis during pregnancy and can be performed in a developing country. Introduction Considering its safety, efficacy, and cost-effectiveness over the open technique, laparoscopy is now a well accepted approach to the treatment of appendicitis, even in compli- cated cases [1–4]. Surgery may be needed during pregnancy for nonobstetric reasons, most commonly appendicitis [5, 6], and laparoscopy is considered as safe as the open method, for both mother and fetus [7]. Ours is principally a hospital for maternity and child health, and nonobstetric surgical problems, especially laparoscopic procedures, are dealt with by us, the pediatric surgeons. However, our gynecologist colleagues are present in the operating room to monitor maternal and fetal health during operation. The aim of the present study was to emphasize the feasibility of laparoscopic appendectomy during pregnancy in a devel- oping country, and also to provide the first report of its kind from Bangladesh. Materials and methods From 7 October 2005 to 6 October 2010, 73 pregnant women presented to the Department of Obstetrics and Gynecology of Chattagram Maa-O-Shishu Hospital with acute Md. J. Hannan (&) Á Md. M. Hoque Department of Pediatric Surgery, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh e-mail: boto_briksha@yahoo.com L. N. Begum Department of Obstetrics and Gynecology, Chattagram Maa-O-Shishu Hospital Medical College, Chittagong, Bangladesh 123 World J Surg (2012) 36:767–770 DOI 10.1007/s00268-012-1445-z