title: [Laparotomy performed in pregnant women due to non-obstetrical causes].
abstract: OBJECTIVE
  The clinical characteristics of laparotomy during pregnancy were investigated.
  
  
  METHODS
  A series of 24 cases of laparotomy during pregnancy was investigated with respect to clinicopathologic features and outcome.
  
  
  RESULTS
  Among 23 cases there were 20 ovarian tumors, 2 acute appendicitis and 2 uterine fibroid. Gestational ages at the time of surgery ranged from 16 to 24 weeks of patients with ovarian tumors and from 30 to 32 weeks in others. No intraoperative or postoperative maternal or fetal complications occurred. One patient had a stage III ovarian carcinoma and went to total hysterectomy, and other patient had a stage IA ovarian carcinoma.
  
  
  CONCLUSIONS
  Appendectomy can be performed without additional risk to the fetus for those who require surgical intervention during pregnancy. Ovarian surgery in pregnancy for persistent masses is important to obtain a final histologic diagnosis.
authors.affiliation: Katedry i Kliniki Ginekologii S.A.M. w Zabrzu.
authors.forename: J
authors.initials: J
authors.lastname: Dudkiewicz
authors.forename: T
authors.initials: T
authors.lastname: Kowalski
authors.forename: D
authors.initials: D
authors.lastname: Grzonka
authors.forename: B
authors.initials: B
authors.lastname: Waksmański
authors.forename: S
authors.initials: S
authors.lastname: Dabrowski
authors.forename: M
authors.initials: M
authors.lastname: Muszer
mesh_terms: D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery; D002277:Carcinoma / Q000601:surgery; D005260:Female; D005350:Fibroma / Q000601:surgery; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy / Q000379:methods*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery