Laparoscopy in pregnancy: a literature review.
The first laparoscopic surgery in pregnancy was a cholecystectomy in 1991. Since that time, a number of articles and case series have been published addressing laparoscopy in pregnancy. Current recommendations are on the basis of these findings, such as operating during any trimester in pregnancy can be safely performed, fetal heart monitoring should be made preoperatively and postoperatively, prophylactic tocolytics should not be used, and multiple entry techniques (Veress needle, Hasson trocar, or optical trocar) can be safely performed. This article will review anesthesia, fetal effects, obesity, complications, adnexal masses, and gastrointestinal issues.
Chohan
Lubna
L
Department of Obstetrics, Gynecology, and Reproductive Sciences, The University of Texas Medical School, Houston, Texas, USA. Lubna.Chohan@uth.tmc.edu
Kilpatrick
Charlie C
CC
D000758:Anesthesia; D001808:Blood Vessels / Q000293:injuries; D005260:Female; D005323:Fetal Monitoring; D005333:Fetus / Q000502:physiology; D005705:Gallbladder Diseases / Q000601:surgery; D005767:Gastrointestinal Diseases / Q000209:etiology / Q000601:surgery; D005831:Genital Diseases, Female / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D009765:Obesity / Q000150:complications; D011247:Pregnancy / Q000502:physiology; D011256:Pregnancy Outcome; D001743:Urinary Bladder / Q000293:injuries