Objective: Thís research aiming to describe and comprehensively evaluate the laparoscopic surgical (LS) treatment outcomes of acute appendicitis (AA) in pregnant women at Ha Dong General Hospital.
Research Method: A retrospective, descriptive study was conducted on 34 pregnant patients diagnosed with AA and treated with LS at Ha Dong General Hospital from January 1, 2021, to Dêcember 31, 2024. Data on patient characteristics, clinical and subclinical progression, detailed surgical techniques, complications, recovery time, and final treatment outcomes were collected and analyzed.
Results: The average patient age was 30.6 ± 6.6 years, and the average gestational age was 15.1 ± 7.9 weeks. All patients (100%) underwent successful LS. The mean operative time was 42.5 ± 13.6 minutes; the group with AA complicated by peritonitis had a longer operative time (57.7 ± 7.5 minutes) compared to the uncomplicated AA group (37.2 ± 10.3 minutes) (p<0.05). The main intraoperative diagnoses were purulent appendicitis (73.5%) and peritonitis due to AA (23.6%). The postoperative complication rate was low (5.8%), including one case (2.9%) of threatened miscarriage and one case (2.9%) of fever of unknown origin; both were managed successfully. The average postoperative hospital stay was 5.2 ± 1.3 days. Overall treatment outcome assessment: 97% of patients achieved good results, 3% achieved fair results, and no poor outcomes were recorded.
Conclusion: LS is a highly safe and effective treatment method for AA in pregnant women at Ha Dong General Hospital. Treatment outcomes are compromising by reasonable operative times, low complication rates, rapid recovery, and high treatment success rates, even in cases of AA complicated by peritonitis.