Minilaparoscopic cystectomy and appendectomy in late second trimester.
OBJECTIVE
Laparoscopic ovarian cystectomy and appendectomy during the early second trimester have been widely reported. However, the use of both procedures in advanced gestation is rare. We propose a minilaparoscopic approach for performing these 2 procedures in a woman 24-weeks pregnant.


METHODS
We describe the case and laparoscopic management of acute abdominal pain at the 24th week of pregnancy. Microlaparoscopy under ultrasound guidance was used for the first trocar insertion to prevent injury to the uterus. It was followed by minilaparoscopic ovarian cystectomy and appendectomy.


RESULTS
Premature contractions occurred after the operation, but they were controlled with a single tocolytic agent, and an apparently healthy female baby was born uneventfully via Cesarean delivery at 41 weeks of gestation.


CONCLUSIONS
Minilaparoscopic ovarian cystectomy and appendectomy can be carried out in the late second trimester without serious sequela.
Wang
Chin-Jung
CJ
Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan.
Yen
Chih-Feng
CF
Lee
Chyi-Long
CL
Soong
Yung-Kuei
YK
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010048:Ovarian Cysts / Q000150:complications / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011262:Pregnancy Trimester, Second