Laparoscopic Procedures in Pregnancy

Conron, Richard W.; Abbruzzi, K.; Cochrane, S. O.; Sarno, Albert P.; Cochrane, Peter

doi:10.1097/00006254-199910000-00002

Cited by 15 publications

(21 citation statements)

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“…There is a general consensus that laparoscopic procedures are safest when performed during the second trimester of pregnancy [21,26,37]. Hunter et al [39] investigated the physiological impact of a CO 2 pneumoperitoneum in these clinical settings.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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Background Laparoscopic surgery during pregnancy is a challenging procedure that most surgeons are reluctant to perform. The objective of this study was to evaluate whether laparoscopic appendectomy and cholecystectomy is safe in pregnant women. The management of these situations remains controversial. We report a single center study describing the successful management of 16 patients during pregnancy. Methods More than 3,356 laparoscopic procedures were performed in our institutions between May 1990 and June 2005. Sixteen of these patients were operated on in the second and third trimester between 22 and 32 weeks of estimated gestational age. We performed 11 laparoscopic appendectomies and 5 laparoscopic cholecystectomies. We also reviewed the management and operative technique used in these patients. Results In this study, the laparoscopic appendectomy or cholecystectomy was performed successfully in all patients. Three patients were in their second trimester, weeks 22, 23, and 25, and 13 were in the third trimester, weeks 27 (three patients), 28 (five patients), 31 (three patients), and 32 (two patients). No maternal or fetal morbidity occurred. Open laparoscopy was performed safely in all patients and all patients delivered healthy babies.Conclusion From our experience laparoscopic management of appendicitis and biliary colic during pregnancy is safe, however the second trimester is preferable for laparoscopic cholecystectomy. Pregnancy is not a contraindication to the laparoscopic approach to appendicitis or symptomatic cholelithiasis. We believe that laparoscopic operations, when performed by experienced surgeons, are safe and even preferable for the mother and the fetus.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic management of appendicitis and symptomatic cholelithiasis during pregnancy

Halkic

Tempia-Caliera

Ksontini

et al. 2006

Langenbecks Arch Surg

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“…However, during the last few years, a number of voices could be heard speaking clearly in favor of laparoscopy with conservative, i.e. organ-preserving, management [2,5,14,[16][17][18][19][20][21][22][23]. In this case, the detorsion of the adnexa is recommended, which should recover within 10 min.…”

Section: Discussionmentioning

confidence: 99%

Adnexal Torsion during Pregnancy – Management and Literature Overview

Haenggi

Uehlinger²,

Heinzl³

2002

Gynäkol Geburtshilfliche Rundsch

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We present a patient in the 30th week of gestation with adnexal torsion, which was treated by laparotomy with oophorectomy. After 2 days, we had to perform a cesarean section because of bowel obstruction. We discuss the diagnosis and treatment of adnexal torsion in pregnancy and compare laparoscopic management with laparotomy. By reviewing the literature, we evaluate the conservative therapy by detorsion employing Doppler sonography.

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“…Several authors recommend that laparoscopic surgery should be performed in the second trimester [4,16]. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) guidelines for laparoscopic surgery in pregnancy recommend that when possible, operative intervention should be deferred until the second trimester or until after parturition [18].…”

Section: Introductionmentioning

confidence: 99%