P M Yuen1, A M Chang. 1. Department of Obstetrics and Gynaecology, The Chinese University of Hong Kong.
Abstract
BACKGROUND: To assess the use of laparoscopy in the management of persistent adnexal mass during the second trimester of pregnancy. SUBJECTS: Six consecutive pregnant women undergoing laparoscopic surgery for persistent adnexal masses in the second trimester. RESULTS: Laparoscopic removal of an adnexal mass was successfully performed in all patients. The median operating time was 37.5 minutes. There were no intra- and post-operative complications. Tocolytic therapy was not required and no patients developed uterine contractions. All patients delivered normal infants vaginally at term without complications. CONCLUSION: With attention to the surgical technique, laparoscopic removal of persistent adnexal mass during the second trimester of pregnancy is safe and carries the same benefits over laparotomy as in non-pregnant women.
BACKGROUND: To assess the use of laparoscopy in the management of persistent adnexal mass during the second trimester of pregnancy. SUBJECTS: Six consecutive pregnant women undergoing laparoscopic surgery for persistent adnexal masses in the second trimester. RESULTS: Laparoscopic removal of an adnexal mass was successfully performed in all patients. The median operating time was 37.5 minutes. There were no intra- and post-operative complications. Tocolytic therapy was not required and no patients developed uterine contractions. All patients delivered normal infants vaginally at term without complications. CONCLUSION: With attention to the surgical technique, laparoscopic removal of persistent adnexal mass during the second trimester of pregnancy is safe and carries the same benefits over laparotomy as in non-pregnant women.
Authors: Heidi Jackson; Steven Granger; Raymond Price; Michael Rollins; David Earle; William Richardson; Robert Fanelli Journal: Surg Endosc Date: 2008-06-14 Impact factor: 4.584