Laparoscopic Surgery During Pregnancy

Michael D. Rollins and Raymond R. Price

Intermountain Healthcare/Salt Lake Clinic, Salt Lake City, Utah, U.S.A.

INTRODUCTION

SAFETY OF LAPAROSCOPY

ANATOMIC AND PHYSIOLOGIC

NONGYNECOLOGIC LAPAROSCOPIC

CONSIDERATIONS

PROCEDURES

Uterus

Cholecystectomy

Hemodynamics

Appendectomy

Respiratory

Adrenalectomy

Coagulation

Splenectomy

Biochemical

Ureterolithotomy

SPECIAL CONSIDERATIONS

Nephrectomy

Anesthesia

COMMON GYNECOLOGIC LAPAROSCOPIC

Radiological Issues

PROCEDURES

Timing of Surgery

Adnexal Mass and Adnexal Torsion

Abdominal Insufflation/Exposure

RECOMMENDATIONS

Maternal and Fetal Monitoring

SUMMARY

ADVANTAGES OF LAPAROSCOPIC SURGERY

REFERENCES

Regardless of the trimester in which laparoscopy was performed, there have not been increases in fetal loss or adverse long-term outcomes.

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