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Laparoscopy in Pregnant Patients

  • Melissa M. Alvarez-Downing
  • David J. MaronEmail author
Chapter

Abstract

The need for abdominal surgery in the pregnant patient is not uncommon. The indication for non-obstetrical surgery during pregnancy should be approached in a similar fashion to the nonpregnant patient. While laparotomy has traditionally been used to address surgical disorders of the peritoneal cavity, the use of laparoscopy is a safe approach with many advantages and should be utilized, when appropriate. An understanding of the physiologic changes that occur during pregnancy is important to the operating surgeon, and anatomic alterations within the abdominal cavity will affect port placement. Proper patient positioning and fetal monitoring are also important in helping to prevent fetal loss during surgery. This chapter will discuss the use of laparoscopy in the pregnant patient with surgical disorders affecting the colon and rectum.

Keywords

Acute Appendicitis Pregnant Patient Fetal Loss Acute Diverticulitis Toxic Megacolon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 33.1

Near obstructing colon cancer in a pregnant patient. This patient underwent an open anterior resection with end colostomy. The video demonstrates some of the potential difficulties encountered in the pregnant patient. Video by Amir Bastawrous, MD (MP4 95188 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA

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