Traitement cœlioscopique des kystes de l'ovaire au cours de la grossesse

Lenglet, Y.; Roman, Horace; Rabishong, B.; Bourdel, Nicolas; Bonnin, M.; Duband, P.; Pouly, Jean-Luc; Mage, G.; Canis, Michel

doi:10.1016/j.gyobfe.2005.11.008

Cited by 34 publications

(4 citation statements)

References 22 publications

(72 reference statements)

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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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“…The authors postulated that fetal demise might have been related to acidosis despite the fact that maternal CO2 levels were maintained within the standard physiological range. [33] …”

Section: Surgical Approachmentioning

confidence: 99%

“…[21] In certain circumstances, it may be justified to remove the tumor only and await fetal maturation, while in some cases chemotherapy may even be given while awaiting pulmonary maturation. [3338] …”

Section: Surgical Approachmentioning

confidence: 99%

Diagnosis and Management of Adnexal Masses in Pregnancy

Yakasai¹,

Bappa²

2012

J Surg Tech Case Report

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Widespread use of ultrasound in early pregnancy has led to the detection of incidental adnexal masses more frequently. This article reviews the diagnosis and management options for adnexal masses in pregnancy. The availability of high-resolution ultrasound has made observation to be a viable option in some cases. However, for those masses suspicious of malignancy, at risk of torsion, rupture, or clinically symptomatic, surgical treatment is warranted. Laparoscopy has been successfully used in pregnancy and is safe in experienced and trained hands in properly equipped units.

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“…Nowadays, the laparoscopic approach in acute abdominal syndromes during pregnancy is widely used based on several recommendations [7,11]. Several case series confirm the feasibility and safety of this surgical procedure [12].…”

Section: Discussionmentioning

confidence: 99%

Emergency laparoscopic surgery in pregnancy

Ammari Smail

2024

World J. Adv. Res. Rev.

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Introduction: The decision to proceed with surgical intervention is often difficult in pregnant women, particularly in emergency contexts. Opting for laparoscopic surgery in pregnant women is even more challenging. Concerns during laparoscopic procedures include potential fetal injury, reduced uterine blood flow due to pneumoperitoneum, and fetal acidosis. The objective of our study is to evaluate the feasibility and morbidity-mortality of emergency laparoscopy in pregnant women. Materials and Methods: This is a descriptive and prospective study conducted between February 2018 and October 2021, involving 337 patients who underwent laparoscopic surgery for acute non-traumatic abdominal emergencies. Results: Among the 190 female patients operated on, 18 patients (9.47%) were pregnant: 8 (44.5%) had acute appendicitis, 7 (38.9%) had acute lithiasic cholecystitis, 2 (11.2%) had ovarian cyst torsion, and 1 (5.6%) had an appendiceal abscess. This laparoscopic management was performed across different gestational ages. The mean gestational age of our patients was 15 ± 14 weeks of amenorrhea (minimum 7 weeks, maximum 29 weeks). The mean operative time for the surgical interventions in these pregnant women was 61.2 minutes ± 20.16 minutes. No intraoperative complications or incidents, no conversions, and no abortions were recorded. Conclusion: Laparoscopy can be safely used to manage acute non-traumatic abdominal emergencies during pregnancy.

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Traitement cœlioscopique des kystes de l'ovaire au cours de la grossesse

Cited by 34 publications

References 22 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

Diagnosis and Management of Adnexal Masses in Pregnancy

Emergency laparoscopic surgery in pregnancy

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