[Laparoscopic management during pregnancy--own material (1996-2002)].
OBJECTIVE
Utility of laparoscopic procedures in pregnant women. Is laparoscopy safe for the foetus?


METHODS
Between 1996 an 2002 14 pregnant patients were admitted and laparoscopy was performed.


RESULTS
In 10 cases laparoscopic cyst enucleation (6 simplex, 1 endometrial, 3 dermoidal), in 1 case myomectomy and in 2 adnexectomy was performed. There were no complications during surgery. In one case miscarriage occurred 3 weeks after laparoscopic surgery and 9 healthy babies were delivered.


CONCLUSIONS
There is no doubt that laparoscopy is well accepted in gynecological surgery and is going to be more and more accepted in obstetrics. Due to several differences between non-pregnant and pregnant women laparoscopic procedures in pregnancy require special attention. All papers show good foetal outcome even with preterm labour. In our material all babies were born healthy.


CONCLUSIONS
Laparoscopic procedures during pregnancy are feasible and safe. Nevertheless they have to be performed by experienced gynecological-surgical teams.
Kempf-Haber
Małgorzata
M
Kliniki Ginekologii i Niepłodności CMUJ w Krakowie.
Wiecheć
Marcin
M
Wicherek
Łukasz
Ł
Adamski
Dariusz
D
Skotniczny
Krzysztof
K
Migdał
Małgorzata
M
Klimek
Marek
M
D000328:Adult; D000556:Ambulatory Surgical Procedures; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011044:Poland; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery*; D011256:Pregnancy Outcome; D018566:Pregnancy, High-Risk; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome