title: Minilaparoscopic cystectomy and appendectomy in late second trimester.
abstract: 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.
authors.affiliation: Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Tao-Yuan, Taiwan.
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Chih-Feng
authors.initials: CF
authors.lastname: Yen
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Yung-Kuei
authors.initials: YK
authors.lastname: Soong
mesh_terms: 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