Cœlioscopie en cours de grossesse : expérience du centre hospitalier universitaire (CHU) de Clermont-Ferrand

Azuar, Anne-Sophie; Bouillet-Dejou, L.; Jardon, К.; Lenglet, Y.; Canis, Michel; Bolandard, F.; Storme, B.; Bonnin, M.; Pezet, Denis; Buc, Emmanuel; Lémery, D.; Gallot, Denis

doi:10.1016/j.gyobfe.2009.04.020

Cited by 26 publications

(2 citation statements)

References 28 publications

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“…In accordance with our case series, the reported surgical and post-surgical pregnancy complications rates are very low. [ 10 11 12 13 14 15 16 17 18 19 20 21 ] Soriano et al . reported the results of 93 surgical interventions in pregnant women with suspected adnexal masses; 39 of them were performed by laparoscopy during the first trimester of pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy

et al. 2016

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OBJECTIVE:To evaluate the feasibility and safety of laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy.STUDY DESIGN:An observational study of a prospective collection of data of all pregnant women who underwent laparoscopic surgery for adnexal masses during the first trimester of pregnancy between January 1999 and November 2012 at the Obstetrics and Gynecology Department of the Italian Hospital of Buenos Aires, Buenos Aires, Argentina was performed.RESULTS:A total of 13 women were included. The median (range) gestational age at the moment of surgical procedure was 7 weeks (range: 5-12 weeks). The main indication of surgery was cyst torsion in four cases (30.7%) and rupture of ovarian cysts in four cases (30.7%). Other indications included persistent ovarian cyst in three patients (23%) and heterotopic pregnancy in two cases (15.3%). Neither surgical complications nor spontaneous abortions occurred in any of the cases and the post-operative period was uneventful in all the cases. No cases of intrauterine growth retardation, preterm delivery, congenital defects, or neonatal complications were registered.CONCLUSION:The treatment of complicated adnexal masses by laparoscopic surgery during the first trimester of pregnancy appears to be a safe procedure both for the mother and for the foetus. Additional research on a larger number of cases is still needed to support these conclusions.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy

et al. 2016

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“…There is a consensus among all the reviewed guidelines that the location of the primary port varies and is dependent upon the level of the uterine fundus. In fact, SOCG specifies that the primary trocar must be inserted 5 cm higher than the upper part of the uterus, alternatively at Palmer’s point [ 17 ], while CNGOF proposes either the open technique (transumbilical or supraumbilical route, especially after 24 weeks of pregnancy) or micro-laparoscopy through Palmer’s point [ 18 - 19 ]. BSGE mentions that given the absence of randomized controlled trials (RCTs), it should be based on the operator’s experience, and the choice of primary port location including umbilical, sub/xiphoid, or Palmer’s point [ 20 - 21 ] (Table 3 ).…”

Section: Reviewmentioning

confidence: 99%

Laparoscopy in Pregnancy: A Comparative Review of National Guidelines

Michos¹,

Dagklis²,

Papanikolaou³

et al. 2023

Cureus

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Gynecological and general surgical conditions requiring surgical management during pregnancy constitute a medical challenge, which often entails the collaboration of numerous medical specialties. In recent years, laparoscopy in pregnancy has been accepted as a safe alternative to open surgery. This has led gynecological societies to conduct studies and issue guidelines related to laparoscopy in pregnancy, with a view to assisting and guiding clinicians and surgeons. The aim of this study was to review and compare the recommendations from various published national guidelines on laparoscopy in pregnant women. To that end, a descriptive review of guidelines from the British Society for Gynaecological Endoscopy (BSGE), the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), the Society of Obstetricians and Gynaecologists of Canada (SOCG), and the Collège National des Gynécologues et Obstétriciens Français (CNGOF) was conducted. Regarding diagnosis, the SAGES and SOCG societies recommend ultrasound as the preferred and safe imaging technique during pregnancy. In terms of the optimal timing for laparoscopic intervention, BSGE and SAGES do not restrict the laparoscopic approach based on safety, depending on the gestation week, whereas SOCG and CNGOF propose early second trimester and first and second quarter of pregnancy respectively. There is an overall consensus regarding patient positioning, initial port placement, insufflation pressure during the operation, venous thromboembolic (VTE) prophylaxis, fetal heart monitoring, and tocolysis among the reviewed guidelines. Moreover, only the BSGE mentions the need for corticosteroids, magnesium sulfate, and anti-D prophylactic administration.

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Laparoskopische Operationen in der Gynäkologie

Gätje¹,

Kaufmann²

2013

Die Gynäkologie

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Cœlioscopie en cours de grossesse : expérience du centre hospitalier universitaire (CHU) de Clermont-Ferrand

Cited by 26 publications

References 28 publications

Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy

Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy

Laparoscopy in Pregnancy: A Comparative Review of National Guidelines

Laparoskopische Operationen in der Gynäkologie

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