Outcome of laparoscopic surgeries during pregnancy for non-obstetric emergencies

Authors

  • Sunitha H. B. Department of Obstetrics and Gynaecology, Radhakrishna Multispecialty Hospital/IVF Center, Bangalore, Karnataka, India
  • Vidya V. Bhat Department of Obstetrics and Gynaecology, Radhakrishna Multispecialty Hospital/IVF Center, Bangalore, Karnataka, India
  • Ravishankar Bhat Department of Gastro Intestinal Surgery, Radhakrishna Multispecialty Hospital/IVF Center, Bangalore, Karnataka, India
  • Nisha E. Department of Obstetrics and Gynaecology, Radhakrishna Multispecialty Hospital/IVF Center, Bangalore, Karnataka, India
  • K. M. Guddy Department of Obstetrics and Gynaecology, Radhakrishna Multispecialty Hospital/IVF Center, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162977

Keywords:

Laparoscopic surgery in pregnancy, Non-obstetric emergency surgeries during pregnancy, Surgeries during pregnancy

Abstract

Background: This study was conducted to evaluate the surgical and obstetric outcome, safety and feasibility of various laparoscopic surgeries for non-obstetric indications in pregnancy.

Methods: We did a retrospective analysis of 18 pregnant patients who underwent laparoscopic surgeries. Study period was from October 2013 till September 2015 conducted in Radhakrishna multispeciality hospital /IVF center Bangalore. Patients operated are 6 cases cholicystectomy, 6 cases appendicectomy, 5 adnexal mass removals, one salpingectomy for heterotopic pregnancy resulted from ART. All patients were between 11 to 32 weeks of gestation, with mean gestational age 21±6.5 weeks at the time of surgery and mean duration of surgery was 46±16.3 minutes.

Results: All eighteen pregnant patients had uneventful hospital courses after laparoscopic procedures. Mean duration of hospital stay after surgery was 43±8.5 hours. One pregnancy was terminated at 11 weeks for suspected ovarian malignancy and 16 delivered full-term babies without complications, one patient delivered preterm at 35 weeks with NICU admission. The mean birth weight at the time of delivery was 2.8±550 gms. There was no maternal morbidity or mortality, or any identifiable neonatal birth defect. No conversion to laparotomy required in any case.

Conclusions: Laparoscopic surgeries can be done in any trimester of pregnancy, but more safe and feasible during the second and early third trimester of pregnancy. Laparoscopic surgeries are as safe as laparotomy in the hands of experienced laparoscopic surgeon with no deleterious effects on either mother or fetus.

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References

Guidelines for diagnosis, treatment, and use of laparoscopy for surgical problems during pregnancy. Society of American Gastrointestinal and Endoscopic Surgeons, 2011. Available at http://www.sages.org/publications/guidelines/guidelines-for-diagnosis-treatment-and-use-of-laparoscopy-for-surgical-problems-during-pregnancy/.

Hool A. Central Manchester Foundation Trust Anaesthesia in pregnancy for non-obstetric surgery anaesthesia tutorial of the week 185, 28th June 2010. Available at http://www.frca.co.uk/Documents/185%20Anaesthesia%20in%20pregnancy%20for%20non-obstetric%20surgery.pdf.

Ngu SF, Vincent YT, Pun TC. Surgical management of adnexal masses in pregnancy. JSLS. 2014;18:71-5.

Lachman E, Schienfeld A, Voss E. Pregnancy and laparoscopic surgery. J Am Assoc Gynecol Laparosc. 1999;6:347-51.

Palanivelu C, Rangarajan M, MS. Laparoscopic appendectomy in pregnancy: a case series of seven patients. JSLS. 2006;10:321-5.

Sayer RA, Hoffman MS. A guide to management Adnexal masses in pregnancy. OBG Manag. 2007;19(3):27-44.

Amoli HA, Tavakoli H, Notash AY, Far MS. Laparoscopic cholicystectomy during pregnancy: a case series. J Min Access surg. 2008;1:9-14.

Chamogeorgakis T, Menzo EL, Smink RD, Feuerstein B, Fantazzio M, Kaufman J, et al. Laparoscopic cholicystectomy during pregnancy: three case reports. JSLS. 1999;3:67-9.

Duggal BS, Tarneja P, Sharma RK, Rath SK, Wadhwa VSM. Laparoscopic management of ectopic pregnancies. MJAFI. 2004;60:220-3.

Louis-Sylvestre C, Morice P, Chapron C, Dubuisson JB. Case report the role of laparoscopy in the diagnosis and management of heterotopic pregnancies. Human Reproduction. 1997;12(5):1100-2.

Goodman S. Perinatol S. Anesthesia for nonobstetric surgery in the pregnant patient. 2002;26(2):136-45.

Emergency General Surgery. The Pregnant Patient and Non-Obstetrical Emergency Surgery. Revised: February 6, 2004. Available at http://traumaburn.com/Protocols/PregnancyNonObstet.pdf.

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Published

2017-02-03

How to Cite

H. B., S., Bhat, V. V., Bhat, R., E., N., & Guddy, K. M. (2017). Outcome of laparoscopic surgeries during pregnancy for non-obstetric emergencies. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 5(9), 3022–3026. https://doi.org/10.18203/2320-1770.ijrcog20162977

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Original Research Articles