Immune thrombocytopenic purpura during pregnancy: laparoscopic treatment.
OBJECTIVE
Laparoscopic surgical techniques in pregnancy have been accepted and pose minimal risks to the patient and fetus. We present the first reported case of a pregnant woman with immune thrombocytopenia purpura who underwent laparoscopic splenectomy during the second trimester.


RESULTS
The anesthesia, hematology, and obstetrics services closely followed the patient's preoperative and intraoperative courses. After receiving immunization, stress close steroids, and prophylactic antibiotics, she underwent a successful laparoscopic splenectomy. After a short hospital stay, the patient was discharged home.


CONCLUSIONS
Immune thrombocytopenia purpura can be an indication for splenectomy. As demonstrated in appendectomy, cholecystectomy, and our case presentation, laparoscopic splenectomy can be safely performed during pregnancy.
Anglin
B V
BV
Department of Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas 75235-9092, USA.
Rutherford
C
C
Ramus
R
R
Lieser
M
M
Jones
D B
DB
D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010976:Platelet Count; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis / Q000601:surgery*; D011256:Pregnancy Outcome; D011262:Pregnancy Trimester, Second; D011296:Prenatal Diagnosis / Q000379:methods; D011696:Purpura, Thrombocytopenic / Q000175:diagnosis / Q000276:immunology / Q000601:surgery*; D013156:Splenectomy / Q000379:methods*