Pregnancy outcome after laparoscopy or laparotomy in pregnancy.
OBJECTIVE
To assess obstetric performance and fetal outcomes after laparoscopy or laparotomy performed during pregnancy.


METHODS
Nationwide, multicenter, retrospective chart review (Canadian Task Force classification II-2).


METHODS
Seventeen hospitals throughout Israel: 12 university or university-affiliated hospitals and 5 general hospitals.


METHODS
Three hundred eighty-nine pregnant women.


METHODS
Laparoscopy or laparotomy for various indications.


RESULTS
Of 192 laparoscopies performed, 141 were during the first, 46 during the second, and 5 during the third trimester; respective figures for 197 laparotomies were 63, 110, and 24. No intraoperative complications were reported for either procedure. Six and 25 women had complications after laparoscopy and laparotomy, respectively. There was no significant difference in abortion rates between groups. Mean gestational age at delivery and mean birthweight were comparable between groups. No significant difference was found in frequency of fetal anomalies between groups or when compared with the Israel register of anomalies.


CONCLUSIONS
Operative laparoscopy seems to be as safe as laparotomy in pregnancy.
Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.
Gabriel
G
Oelsner
David
D
Stockheim
David
D
Soriano
Mordechai
M
Goldenberg
Daniel S
DS
Seidman
Shlomo B
SB
Cohen
Dalia
D
Admon
Ilya
I
Novikov
Shlomo
S
Maschiach
Howard J A
HJ
Carp
S
S
Anderman
M
M
Ben-Ami
A
A
Ben-Arie
Z
Z
Hagay
M
M
Bustan
E
E
Shalev
H
H
Carp
O
O
Gemer
A
A
Golan
M
M
Holzinger
Y
Y
Beyth
A
A
Horowitz
Y
Y
Hamani
M
M
Keis
O
O
Lavie
D
D
Luxman
G
G
Oelsner
D
D
Stockheim
N
N
Rojansky
G
G
Taichner
C
C
Yafe
S
S
Zohar
B
B
Bilanca
D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007557:Israel; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011256:Pregnancy Outcome; D011336:Probability; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D016896:Treatment Outcome