Letters Management of appendicitis

Surgical management of appendicitis remains best option during pregnancy

BMJ 2012; 344 doi: http://dx.doi.org/10.1136/bmj.e3575 (Published 22 May 2012) Cite this as: BMJ 2012;344:e3575
  1. Archana Vasireddy, specialty trainee in obstetrics and gynaecology, Women’s Services1,
  2. Simon Atkinson, consultant surgeon, Department of Surgery1,
  3. Andrew Shennan, professor of obstetrics2,
  4. Susan Bewley, professor of complex obstetrics2
  1. 1Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London SE1 7EH, UK
  2. 2Women’s Health Academic Centre, King’s College London, c/o St Thomas’ Hospital, London SE1 7EH, UK
  1. susan.bewley{at}kcl.ac.uk

Surgeons contemplating conservative management of acute appendicitis must realise pregnant women were excluded from the meta-analysis by Varadhan and colleagues.1 Two maternal deaths have occurred in London since 2010; both women were treated with antibiotics, seemingly to recover sufficiently to be discharged before readmission with their final illness.

The UK Confidential Enquiry into Maternal Deaths is currently suspended, so we examined all …

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