title: Immune thrombocytopenic purpura during pregnancy: laparoscopic treatment.
abstract: 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.
authors: Department of Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas 75235-9092, USA.
authors: B V
authors: BV
authors: Anglin
authors: C
authors: C
authors: Rutherford
authors: R
authors: R
authors: Ramus
authors: M
authors: M
authors: Lieser
authors: D B
authors: DB
authors: Jones
mesh_terms: 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*