Non-obstetric surgery in pregnancy (including bowel surgery and gallbladder surgery)

Abstract

Non-obstetric surgery during pregnancy is required in 0.75-2% of pregnancies. Physiologic changes during pregnancy, both hormonal and anatomic, can have interactions with surgery and anesthesia. Indication, timing as well as risks of anesthesia and surgery should be considered in surgical decision making. The health status of the mother should always be put first. A preoperative multidisciplinary approach, also including an obstetrician and neonatologist, is mandatory. Delay in diagnosis and treatment carry risks of complications in all septic visceral indications. Considerations should be individualized.

Keywords: Appendectomy; Cholecystectomy; Gastrointestinal; IBD; Laparoscopy; Laparotomy; Non-obstetric; Pregnancy; Surgery.