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Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy.

Methods

We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy in our institution between 1996 and 2013.

Results

We reviewed cases of 117 pregnant women who underwent laparoscopic surgery during the study period. There were no conversions to laparotomy. 71 surgeries were performed in the first trimester (group 1, mean gestational age 7.7 ± 1.9 weeks) and 46 were performed in the second and third trimesters (group 2, mean gestational age 18.1 ± 4.3 weeks). More patients in group 1 underwent surgery for suspected adnexal torsion (p < 0.001), while more patients in group 2 underwent surgery for presumptive cholecystitis (p = 0.014) and persistent ovarian mass (p = 0.011). The interval between admission and surgery differed significantly between the groups and was longer in group 2 compared to group 1 (18.2 ± 24.0 vs. 6.8 ± 10.6 h, p = 0.001). No difference was found between the two groups regarding surgical complications, histopathological findings and pregnancy outcomes.

Conclusion

In our experience, laparoscopic surgery in advanced pregnancy was found to be feasible and safe as in early pregnancy, without any adverse effects on pregnancy outcome.

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References

  1. Kammerer WS (1987) Nonobstetric surgery in pregnancy. Med Clin North Am 71(3):551–560

    CAS  PubMed  Google Scholar 

  2. Kort B, Katz VL, Watson WJ (1993) The effect of nonobstetric operation during pregnancy. Surg Gynecol Obstet 177(4):371–376

    CAS  PubMed  Google Scholar 

  3. Mazze RI, Kallen B (1989) Reproductive outcome after anesthesia and operation during pregnancy: a registry study of 5405 cases. Am J Obstet Gynecol 161(5):1178–1185

    Article  CAS  PubMed  Google Scholar 

  4. Fatum M, Rojansky N (2001) Laparoscopic surgery during pregnancy. Obstet Gynecol Surv 56(1):50–59

    Article  CAS  PubMed  Google Scholar 

  5. Chohan L, Kilpatrick CC (2009) Laparoscopy in pregnancy: a literature review. Clin Obstet Gynecol 52(4):557–569

    Article  PubMed  Google Scholar 

  6. Gurbuz AT, Peetz ME (1997) The acute abdomen in the pregnant patient. Is there a role for laparoscopy? Surg Endosc 11(2):98–102

    Article  CAS  PubMed  Google Scholar 

  7. Duncan PG, Pope WD, Cohen MM, Greer N (1986) Fetal risk of anesthesia and surgery during pregnancy. Anesthesiology 64(6):790–794

    Article  CAS  PubMed  Google Scholar 

  8. Iafrati MD, Yarnell R, Schwaitzberg SD (1995) Gasless laparoscopic cholecystectomy in pregnancy. J Laparoendosc Surg 5(2):127–130

    Article  CAS  PubMed  Google Scholar 

  9. Andreoli M, Servakov M, Meyers P, Mann WJ Jr (1999) Laparoscopic surgery during pregnancy. J Am Assoc Gynecol Laparosc 6(2):229–233

    Article  CAS  PubMed  Google Scholar 

  10. McKellar DP, Anderson CT, Boynton M, Peoples JB (1992) Cholecystectomy during pregnancy without fetal loss. Surg Gynecol Obstet 174(6):465–468

    CAS  PubMed  Google Scholar 

  11. Reedy MB, Galan HL, Richards WE, Preece CK, Wetter PA, Kuehl TJ (1997) Laparoscopy during pregnancy. A survey of laparoendoscopic surgeons. J Reprod Med 42(1):33–38

    CAS  PubMed  Google Scholar 

  12. Reedy MB, Kallen B, Kuehl TJ (1997) Laparoscopy during pregnancy: a study of five fetal outcome parameters with use of the Swedish Health Registry. Am J Obstet Gynecol 177(3):673–679

    Article  CAS  PubMed  Google Scholar 

  13. Rollins MD, Chan KJ, Price RR (2004) Laparoscopy for appendicitis and cholelithiasis during pregnancy: a new standard of care. Surg Endosc 18(2):237–241

    Article  CAS  PubMed  Google Scholar 

  14. Jackson H, Granger S, Price R, Rollins M, Earle D, Richardson W et al (2008) Diagnosis and laparoscopic treatment of surgical diseases during pregnancy: an evidence-based review. Surg Endosc 22(9):1917–1927

    Article  PubMed  Google Scholar 

  15. Upadhyay A, Stanten S, Kazantsev G, Horoupian R, Stanten A (2007) Laparoscopic management of a nonobstetric emergency in the third trimester of pregnancy. Surg Endosc 21(8):1344–1348

    Article  CAS  PubMed  Google Scholar 

  16. Glasgow RE, Visser BC, Harris HW, Patti MG, Kilpatrick SJ, Mulvihill SJ (1998) Changing management of gallstone disease during pregnancy. Surg Endosc 12(3):241–246

    Article  CAS  PubMed  Google Scholar 

  17. Davis A, Katz VL, Cox R (1995) Gallbladder disease in pregnancy. J Reprod Med 40(11):759–762

    CAS  PubMed  Google Scholar 

  18. Muench J, Albrink M, Serafini F, Rosemurgy A, Carey L, Murr MM (2001) Delay in treatment of biliary disease during pregnancy increases morbidity and can be avoided with safe laparoscopic cholecystectomy. Am Surg 67(6):539–542 discussion 542–3

    CAS  PubMed  Google Scholar 

  19. Visser BC, Glasgow RE, Mulvihill KK, Mulvihill SJ (2001) Safety and timing of nonobstetric abdominal surgery in pregnancy. Dig Surg 18(5):409–417

    Article  CAS  PubMed  Google Scholar 

  20. Clark SL, Cotton DB, Pivarnik JM, Lee W, Hankins GD, Benedetti TJ et al (1991) Position change and central hemodynamic profile during normal third-trimester pregnancy and post partum. Am J Obstet Gynecol 164(3):883–887

    Article  CAS  PubMed  Google Scholar 

  21. Malangoni MA (2003) Gastrointestinal surgery and pregnancy. Gastroenterol Clin North Am 32(1):181–200

    Article  PubMed  Google Scholar 

  22. (1998) Guidelines for laparoscopic surgery during pregnancy. Society of American Gastrointestinal Endoscopic Surgeons (SAGES) Surg Endosc 12(2):189–90

  23. Affleck DG, Handrahan DL, Egger MJ, Price RR (1999) The laparoscopic management of appendicitis and cholelithiasis during pregnancy. Am J Surg 178(6):523–529

    Article  CAS  PubMed  Google Scholar 

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Conflict of interest

The authors report no conflicts of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Edith Wolfson Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Halochamim St. 62, Holon, Israel

    Eran Weiner, Yossi Mizrachi, Ran Keidar, Ram Kerner, Abraham Golan & Ron Sagiv

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  1. Eran Weiner
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  2. Yossi Mizrachi
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  3. Ran Keidar
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  4. Ram Kerner
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  5. Abraham Golan
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  6. Ron Sagiv
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Correspondence to Ron Sagiv.

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Weiner, E., Mizrachi, Y., Keidar, R. et al. Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy. Arch Gynecol Obstet 292, 1063–1068 (2015). https://doi.org/10.1007/s00404-015-3744-8

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  • DOI: https://doi.org/10.1007/s00404-015-3744-8

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