title: Laparoendoscopic single-site surgery for acute adnexal pathology during pregnancy: preliminary experience.
abstract: OBJECTIVE
  To report the feasibility of laparoendoscopic single port surgical approach for the management of huge adnexal cysts and adnexal torsion during pregnancy. To discuss the optimal method of entry into the peritoneal cavity for pregnant patients.
  
  
  METHODS
  Two case report. METHOD AND PATIENT(S): Two pregnant patients with adnexal mass. First patient, suffering from persistent and progressive abdominal distention and pain on her 12th week of pregnancy, was diagnosed with an ovarian cyst in 18 cm diameter on left ovary. The other patient had IVF twin pregnancy and presented with left adnexal torsion on the 25th week of pregnancy.
  
  
  METHODS
  Single-port laparoscopic ovarian cystectomy on the 12th week of pregnancy in patient one and single-port left adnexectomy in a twin pregnancy on the 25th week of pregnancy in patient two.
  
  
  METHODS
  Feasibility of single port laparoscopic intervention during pregnancy for adnexal mass.
  
  
  RESULTS
  Complete resolution of the symptoms for both pregnant women after the surgeries. No fetal and maternal complication was diagnosed during both pregnancies.
  
  
  CONCLUSIONS
  Single port laparoscopy with open-entry technique is feasible and might be a better surgical option for the pregnant patients with adnexal pathology. However, further studies with larger sample size are needed to reach clear conclusion.
authors.affiliation: Department of Obstetrics & Gynecology, School of Medicine, Baskent University, Ankara, Turkey.
authors.forename: Polat
authors.initials: P
authors.lastname: Dursun
authors.forename: Cağrı
authors.initials: C
authors.lastname: Gülümser
authors.forename: Mete
authors.initials: M
authors.lastname: Cağlar
authors.forename: Coskun
authors.initials: C
authors.lastname: Araz
authors.forename: Hulusi
authors.initials: H
authors.lastname: Zeyneloğlu
authors.forename: Ali
authors.initials: A
authors.lastname: Haberal
mesh_terms: D000208:Acute Disease; D000291:Adnexal Diseases / Q000601:surgery*; D000328:Adult; D004724:Endoscopy; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D010048:Ovarian Cysts / Q000601:surgery*; D010052:Ovariectomy; D010865:Pilot Projects; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D059285:Pregnancy, Twin