Acute appendicitis in pregnancy is a condition that can cause both maternal and fetal complications, and in patients who have decided to undergo surgery, laparoscopic appendectomy (LA) or open surgery (laparotomy appendectomy [LAA]) options are available. In this study, we aim to shed light on the relative advantages and disadvantages of the 2 surgical techniques. This retrospective study included 56 pregnant patients (15 LA, 41 LAA) who underwent surgery with the diagnosis of appendicitis at Ondokuz Mayis University Medical Faculty Hospital between 2015 and 2025. Demographic data, gestational age, duration of surgery, duration of hospital stay, complications, and birth outcomes of the patients were examined. Patients with pregnancy complications were not included in the study. The most striking finding in our study is that preterm birth was not observed in the LA group. In contrast, a 24.4% preterm birth rate was observed in the LAA group (P: .035). No significant difference was found between the 2 groups in terms of neonatal parameters such as gestational age, postnatal Apgar score, and birth weight. Although our findings are consistent with other studies on the reliability of the laparoscopic approach in pregnancy, the fact that the laparoscopic approach is preferred more in the early weeks of pregnancy in our center and our small sample size are the limitations of our study. Our study shows that LA is a safe option in appropriately selected pregnant women. These findings need to be supported by larger sample, multicenter studies.

This study aimed to investigate the effects of Laparoscopic Sleeve Gastrectomy (LSG) surgery on Female Sexual Function Index (FSFI) and menstrual functions. A total of 494 sexually active women attempting OMU Faculty of Medicine and diagnosed with obesity and underwent with laparoscopic sleeve gastrectomy before and after the surgery between 17.02.2015 and 10.03.2025 were included in the study. FSFI before operation was significantly and negatively correlated with age (r=−0.443; p<0.01) and Visual Analog Scale (VAS) (r=−0.675; p<0.01). FSFI after operation was significantly and negatively correlated with age (r=−0.383; p<0.01), menstrual cycle (r=−0.202; p<0.05) and VAS (r=−0.661; p0.05). Age (OR=−0.083; p<0.01) and VAS (OR=−0.410; p<0.01) had significant and negative effect on FSFI before operation. Similarly, age (OR=−0.092; p<0.01) and VAS (OR=−0.439; p<0.01) had significant and negative effect on FSFI after operation. Menstrual cycle change after LSG also had a decreasing effect on FSFI level after obesity. Therefore, treatment support can be given to women in terms of menstrual cycle in order to increase their sexual quality of life after LSG. Multidisciplinary studies of bariatric surgeon and gynecologist are needed in this regard.

This study aimed to compare pregnancy and neonatal outcomes before and after laparoscopic sleeve gastrectomy in women diagnosed with obesity. Female patients who underwent laparoscopic sleeve gastrectomy with the diagnosis of obesity at Ondokuz Mayıs University Faculty of Medicine between 11.01.2015 and 17.03.2025 were included in the study. The patients were divided into two groups as those who became pregnant after the operation (n = 59) and those who did not (n = 435). Pregnancy and delivery outcomes of the women who became pregnant before and after the operation were compared. Pregnancy rate after LSG was 11.9% in our sample. Age mean for pregnancy patients after LSG (31.22 ± 4.45) were significantly lower (p < 0.05), whereas BMI mean differences between postop pregnant and non-pregnant group were insignificant (p > 0.05). DM, HT, PCOS, anxiety, asthma and hypothyroid distribution differences were also insignificant between postop pregnancy groups (p > 0.05). Pregnancy month after operation was ranged from 6 to 60 months with 25.22 ± 13.84 months mean. DM frequency was 6.8%, HT, PCOS and anxiety frequencies were 5.1%. 45.8% of patients had operation history. Birth weight and mother age were significantly higher in postop pregnant after LSG patients (p < 0.05). Pregnancy BMI was significantly lower after LSG (p < 0.05). Congenital anomaly was more common in postop pregnant after LSG patients (p < 0.05). All other pregnancy and delivery outcome differences between patient groups were statistically insignificant (p > 0.05). Pregnancy rates in pregnant women after LSG were over 10%. Birth weight, BMI during pregnancy and congenital anomaly differed before and after LSG. Further studies are needed on the relationship between congenital anomaly and LSG.