Single-Port Laparoscopic Surgery for Adnexal Mass Removal During Pregnancy: The Initial Experience of a Single Institute

Abstract

ObjectiveSingle-port laparoscopy has become a feasible and safe approach for the management of benign adnexal masses during pregnancy. To our knowledge, there are few reports on the feasibility and safety of single-port laparoscopy for adnexal mass removal during pregnancy. Our study reports the use of single-port laparoscopy in adnexal mass removal during pregnancy in our hospital.MethodsWe included 10 cases of single-port laparoscopic surgery for adnexal mass removal during pregnancy in the West China Second University Hospital between January 2017 and March 2020. Median values were found using SPSS20. When the p-value was <0.05, the median and interquartile range were used. All patients provided informed consent.ResultsThe following median values were recorded: surgical time, 112.50 min; blood loss, 25 ml; postoperative hospital stay, 3 days; postoperative pain [visual analog scale (VAS)] at 6 h, 3; and postoperative pain (VAS) at 24 h, 2. Our study reported no postoperative spontaneous abortions. There was one preterm birth.ConclusionSingle-port laparoscopy appears to be safe for both the mother and the fetus.

Gasless laparoendoscopic single-site assisted extracorporeal ovarian cystectomy through the umbilicus for the management of ovarian torsion at 33 weeks of gestation: A case report with literature review

“…LESS surgery, in which surgical manipulation is performed through a single incision in the umbilical region, has been introduced to provide further benefits of the laparoscopic approach to adnexal disease in pregnant women [ 7 , 11 , 16 , 18 ].…”

“…Potential advantages of LESS surgery over conventional multiport laparoscopy include avoiding the risk of injury due to improper penetration of the enlarged uterus during insertion of an insufflation needle or trocar because the working port is created in the umbilicus by an open method under direct observation instead of closed puncture. Additionally, reducing the number of ports can minimize abdominal wall trauma [ 7 , 11 , 16 , 18 ].…”

Single-port laparoscopy versus conventional laparoscopy for management of benign adnexal masses during pregnancy: a comparative study

“…There were previously reported studies in this topic [5][6][7], but still concerns were found for evaluating roles of SPL surgery in management of benign adnexal masses during pregnancy [8].…”

Surgical Management of Adnexal Masses in Pregnancy

“…This scenario is frequently a diagnostic source issues, which can lead to incorrect surgical therapy [8]. Aside from an emergency, conservative therapy is addressed; nevertheless, the advent of appendix torsion and other acute complications necessitates relatively hostile surgical methods [9].…”