"Perioperative Considerations in Laparoscopic Surgery During Pregnancy"

Abstract

Laparoscopy once considered as contraindicated, is being increasingly used in pregnant patient requiring abdominal surgeries without apparent increase in complications. Being minimally invasive offer multiple benefits compared to laparotomy. In addition, laparoscopy is associated with three-fold reduced obstetrical complications such as preterm labour with or without preterm delivery, miscarriage and still birth, when compared with laparotomy. In selected patients, diagnostic laparoscopy can be an alternative to radiologic imaging. Laparoscopic surgeries can be performed at any stage of pregnancy depending on the technical feasibility and clinical judgment. This article highlighted some important physiological changes during pregnancy and its potential consequences of the perioperative period. Some common surgical and peri-operative issues has been addressed with recent society based guideline and recommendations.