Acute calculous cholecystitis in less than one week pregnancy.
| Discussion in 'All Categories' started by Dr Avinash Kumar Singh - Jun 25th, 2016 12:50 am. | |
Dr Avinash Kumar Singh
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What should the management of acute calculous cholecystitis in less than one week pregnancy? |
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re: Acute calculous cholecystitis in less than one week pregnancy.
by Dr R K Mishra -
Jun 26th, 2016
6:54 am
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Dr R K Mishra
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Dear Dr Avinash Kumar Singh According to SAGES guideline Laparoscopy can be safely performed during any trimester of pregnancy. Operative intervention may be performed in any trimester of pregnancy. Historical recommendations were to delay surgery until the second trimester in order to reduce the rates of spontaneous abortion and preterm labor. Recent literature has shown that pregnant patients may undergo laparoscopic surgery safely during any trimester without any increased risk to the mother or fetus. Intraoperative CO2 monitoring by capnography should be used during laparoscopy in the pregnant patient. There have been no reports of fetal demise for laparoscopic cholecystectomy performed during the first and second trimesters However, Isoflurane should be use as safe anaesthesia. |