Aggressive management of cholecystitis during pregnancy.

Nonoperative management of symptomatic cholelithiasis has generally been recommended for pregnant patients. However, a review of our experience with 44 patients at the Los Angeles County-University of Southern California Medical Center indicates that conservative management is associated with recurrent episodes of biliary tract symptoms, often requiring multiple hospitalizations, as well as a significant rate of fetal loss; whereas operation performed during the second trimester was associated with little maternal morbidity, no fetal loss, and a substantial reduction in total hospital days.

[1]  J. Hiatt,et al.  Biliary disease in pregnancy: Strategy for surgical management☆ , 1986 .

[2]  W. Jennings,et al.  Role of vein patch angioplasty in isolated operations for profunda femoris stenosis and disabling claudication. , 1985, American journal of surgery.

[3]  J. A. Simon.  Biliary tract disease and related surgical disorders during pregnancy. , 1983, Clinical obstetrics and gynecology.

[4]  W. S. Kammerer,et al.  Nonobstetric surgery during pregnancy. , 1979, The Medical clinics of North America.

[5]  Printen Kj,et al.  Cholecystectomy during pregnancy. , 1978 .

[6]  L. Hill,et al.  Cholecystectomy in Pregnancy , 1975, Obstetrics and gynecology.

[7]  G. Douglas,et al.  Acute cholecystitis in pregnancy and the puerperium. , 1972, The American surgeon.

[8]  A. Rogers,et al.  Fetal loss after cholecystectomy during pregnancy. , 1963, Canadian Medical Association journal.

[9]  J. A. Smith,et al.  Acute surgical emergencies of the abdomen in pregnancy. , 1940, The New England journal of medicine.