Laparoscopic Surgery in Pregnancy and Consequences According to Gestational Age

Nancy Mohamed Ali Rund
2019 Journal of Gynecology and Womens Health  
Laparoscopic surgery has been revealed and displayed by various research teams to reduce operative time, postoperative pain, hospital length of stay, recovery time, and wound complications in comparison to laparotomy during pregnancy. However, research efforts and analytical methods should explore the feasibility and safety to perform laparoscopic surgery at different gestational ages. Surgical and anesthetic challenges arise due to anatomical and physiological changes that normally appear as a
more » ... ormally appear as a normal adaptation to pregnancy status. Aim of the Work: The main aim of this research study was to evaluate the clinical and obstetric consequences of interventional laparoscopic procedures conducted during late gestation in comparison to cases conducted in early gestation. Methodology: The research was conducted in a retrospective manner on 18 cases of laparoscopic surgeries performed during pregnancy from January 2011 till March 2017 comparing cases performed early in pregnancy to those in late pregnancy. Result: The research data was collected and analyzed from 18 pregnant study subjects that had undergone laparoscopic procedures during the research study period. The mean operative time was significantly lower among women of early pregnancy research group [45.0±7.7min vs. 57.9±3.9min, pvalue=0.001]. None of women of early pregnancy group had postoperative complications, in contrast to 3 cases in the late pregnancy group 1 (14.3%) had port-site infection after laparoscopic appendectomy and 2 (28.6%) had threatened preterm labor that was managed by rectal indomethacin for 48 hours; this difference was close to be statistically significant (p value=0.059) there were no conversions to laparotomy. Conclusion: According to the current research findings, laparoscopic interventional procedures in late and early gestation have a high safety profile and with appropriate preparation are considered feasible without any hazardous impact on pregnancy as regards maternal and fetal wellbeing.
doi:10.19080/jgwh.2019.14.555889 fatcat:mwpqzpowzbbmlinks2ychchqmy