Appendectomy and pregnancy: gestational age does not affect the position of the incision

Marc A. de Moya, Antonios C. Sideris, Garry Choy, Yuchiao Chang, Wendy B. Landman, Catrina M. Cropano, Stephen M. Cohn

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The position of the base of the appendix during advancing gestational age is based on inadequate data. Therefore, the proper location for an appendectomy incision during pregnancy is highly unclear. This study investigated the location of the appendix during pregnancy to determine the optimal location for an incision in pregnant patients with appendicitis relative to McBurney's point. Magnetic resonance images (MRIs) were reviewed independently by two fellowship-trained abdominal MRI radiologists blinded to the imaging report. The distance of the appendix from anatomic landmarks was measured in a total of 114 pregnant women with an abdominal or pelvic MRI who were admitted between 2001 and 2011 at a Level I trauma center. Patients with a history of appendectomy were excluded. The distance from the base of the appendix to McBurney's point changed over the course of the gestation by only 1.2 cm and which did not amount to a clinically or statistically significant change in position. Our data provide evidence that there is minimal upward or lateral displacement of the appendix during pregnancy, and therefore its distance from the McBurney's point remains essentially unchanged. These findings justify the use of the McBurney's incision for appendectomy during pregnancy regardless of the trimester.

Original languageEnglish (US)
Pages (from-to)282-288
Number of pages7
JournalThe American surgeon
Volume81
Issue number3
StatePublished - Mar 1 2015
Externally publishedYes

Fingerprint

Appendectomy
Gestational Age
Pregnancy
Magnetic Resonance Spectroscopy
Anatomic Landmarks
Pregnancy Trimesters
Trauma Centers
Appendicitis
Pregnant Women

ASJC Scopus subject areas

  • Medicine(all)

Cite this

de Moya, M. A., Sideris, A. C., Choy, G., Chang, Y., Landman, W. B., Cropano, C. M., & Cohn, S. M. (2015). Appendectomy and pregnancy: gestational age does not affect the position of the incision. The American surgeon, 81(3), 282-288.

Appendectomy and pregnancy : gestational age does not affect the position of the incision. / de Moya, Marc A.; Sideris, Antonios C.; Choy, Garry; Chang, Yuchiao; Landman, Wendy B.; Cropano, Catrina M.; Cohn, Stephen M.

In: The American surgeon, Vol. 81, No. 3, 01.03.2015, p. 282-288.

Research output: Contribution to journalArticle

de Moya, MA, Sideris, AC, Choy, G, Chang, Y, Landman, WB, Cropano, CM & Cohn, SM 2015, 'Appendectomy and pregnancy: gestational age does not affect the position of the incision', The American surgeon, vol. 81, no. 3, pp. 282-288.
de Moya MA, Sideris AC, Choy G, Chang Y, Landman WB, Cropano CM et al. Appendectomy and pregnancy: gestational age does not affect the position of the incision. The American surgeon. 2015 Mar 1;81(3):282-288.
de Moya, Marc A. ; Sideris, Antonios C. ; Choy, Garry ; Chang, Yuchiao ; Landman, Wendy B. ; Cropano, Catrina M. ; Cohn, Stephen M. / Appendectomy and pregnancy : gestational age does not affect the position of the incision. In: The American surgeon. 2015 ; Vol. 81, No. 3. pp. 282-288.
@article{f5ae1fd046944a058a0d67b64faa4c95,
title = "Appendectomy and pregnancy: gestational age does not affect the position of the incision",
abstract = "The position of the base of the appendix during advancing gestational age is based on inadequate data. Therefore, the proper location for an appendectomy incision during pregnancy is highly unclear. This study investigated the location of the appendix during pregnancy to determine the optimal location for an incision in pregnant patients with appendicitis relative to McBurney's point. Magnetic resonance images (MRIs) were reviewed independently by two fellowship-trained abdominal MRI radiologists blinded to the imaging report. The distance of the appendix from anatomic landmarks was measured in a total of 114 pregnant women with an abdominal or pelvic MRI who were admitted between 2001 and 2011 at a Level I trauma center. Patients with a history of appendectomy were excluded. The distance from the base of the appendix to McBurney's point changed over the course of the gestation by only 1.2 cm and which did not amount to a clinically or statistically significant change in position. Our data provide evidence that there is minimal upward or lateral displacement of the appendix during pregnancy, and therefore its distance from the McBurney's point remains essentially unchanged. These findings justify the use of the McBurney's incision for appendectomy during pregnancy regardless of the trimester.",
author = "{de Moya}, {Marc A.} and Sideris, {Antonios C.} and Garry Choy and Yuchiao Chang and Landman, {Wendy B.} and Cropano, {Catrina M.} and Cohn, {Stephen M.}",
year = "2015",
month = "3",
day = "1",
language = "English (US)",
volume = "81",
pages = "282--288",
journal = "American Surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "3",

}

TY - JOUR

T1 - Appendectomy and pregnancy

T2 - gestational age does not affect the position of the incision

AU - de Moya, Marc A.

AU - Sideris, Antonios C.

AU - Choy, Garry

AU - Chang, Yuchiao

AU - Landman, Wendy B.

AU - Cropano, Catrina M.

AU - Cohn, Stephen M.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - The position of the base of the appendix during advancing gestational age is based on inadequate data. Therefore, the proper location for an appendectomy incision during pregnancy is highly unclear. This study investigated the location of the appendix during pregnancy to determine the optimal location for an incision in pregnant patients with appendicitis relative to McBurney's point. Magnetic resonance images (MRIs) were reviewed independently by two fellowship-trained abdominal MRI radiologists blinded to the imaging report. The distance of the appendix from anatomic landmarks was measured in a total of 114 pregnant women with an abdominal or pelvic MRI who were admitted between 2001 and 2011 at a Level I trauma center. Patients with a history of appendectomy were excluded. The distance from the base of the appendix to McBurney's point changed over the course of the gestation by only 1.2 cm and which did not amount to a clinically or statistically significant change in position. Our data provide evidence that there is minimal upward or lateral displacement of the appendix during pregnancy, and therefore its distance from the McBurney's point remains essentially unchanged. These findings justify the use of the McBurney's incision for appendectomy during pregnancy regardless of the trimester.

AB - The position of the base of the appendix during advancing gestational age is based on inadequate data. Therefore, the proper location for an appendectomy incision during pregnancy is highly unclear. This study investigated the location of the appendix during pregnancy to determine the optimal location for an incision in pregnant patients with appendicitis relative to McBurney's point. Magnetic resonance images (MRIs) were reviewed independently by two fellowship-trained abdominal MRI radiologists blinded to the imaging report. The distance of the appendix from anatomic landmarks was measured in a total of 114 pregnant women with an abdominal or pelvic MRI who were admitted between 2001 and 2011 at a Level I trauma center. Patients with a history of appendectomy were excluded. The distance from the base of the appendix to McBurney's point changed over the course of the gestation by only 1.2 cm and which did not amount to a clinically or statistically significant change in position. Our data provide evidence that there is minimal upward or lateral displacement of the appendix during pregnancy, and therefore its distance from the McBurney's point remains essentially unchanged. These findings justify the use of the McBurney's incision for appendectomy during pregnancy regardless of the trimester.

UR - http://www.scopus.com/inward/record.url?scp=84928754175&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928754175&partnerID=8YFLogxK

M3 - Article

C2 - 25760205

AN - SCOPUS:84928754175

VL - 81

SP - 282

EP - 288

JO - American Surgeon

JF - American Surgeon

SN - 0003-1348

IS - 3

ER -