Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy
Purpose The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy. Methods We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy i...
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| Veröffentlicht in: | Archives of gynecology and obstetrics 2015-11, Vol.292 (5), p.1063-1068 |
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| container_title | Archives of gynecology and obstetrics |
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| creator | Weiner, Eran Mizrachi, Yossi Keidar, Ran Kerner, Ram Golan, Abraham Sagiv, Ron |
| description | Purpose
The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy.
Methods
We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy in our institution between 1996 and 2013.
Results
We reviewed cases of 117 pregnant women who underwent laparoscopic surgery during the study period. There were no conversions to laparotomy. 71 surgeries were performed in the first trimester (group 1, mean gestational age 7.7 ± 1.9 weeks) and 46 were performed in the second and third trimesters (group 2, mean gestational age 18.1 ± 4.3 weeks). More patients in group 1 underwent surgery for suspected adnexal torsion (
p
|
| doi_str_mv | 10.1007/s00404-015-3744-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1718329682</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1718329682</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-8f574cf0fbce1e02a0228ddc6d1459a9de3295fc5505477b4e949a12489441b63</originalsourceid><addsrcrecordid>eNp1kM1KAzEURoMotlYfwI0MuHEzem8mmSRLKf5BQRe6DmkmU1pmJmPSEfr2prRaEFzlI_fcL-EQcolwiwDiLgIwYDkgzwvBWC6PyBhZQXMQiMdkDGqboRQjchbjCgCplOUpGVGuuEzQmLzNTG-Cj9b3S5vFISxc2GS9C7UPrauyZZeZ6st0NuU-uEWX4iazvk1b6WrtM2dCsznMzslJbZroLvbnhHw8PrxPn_PZ69PL9H6WW1bIdS5rLpitoZ5bhw6oAUplVdmyQsaVUZUrqOK15Rw4E2LOnGLKIGVSMYbzspiQm11vH_zn4OJat8toXdOYzvkhahQoU0UpaUKv_6ArP4Qu_U5TWiKnWAiVKNxRNumIwdW6D8vWhI1G0FvdeqdbJ916q1vLtHO1bx7mydbvxo_fBNAdENOoS24PT__f-g1fMInx</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261521379</pqid></control><display><type>article</type><title>Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Weiner, Eran ; Mizrachi, Yossi ; Keidar, Ran ; Kerner, Ram ; Golan, Abraham ; Sagiv, Ron</creator><creatorcontrib>Weiner, Eran ; Mizrachi, Yossi ; Keidar, Ran ; Kerner, Ram ; Golan, Abraham ; Sagiv, Ron</creatorcontrib><description>Purpose
The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy.
Methods
We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy in our institution between 1996 and 2013.
Results
We reviewed cases of 117 pregnant women who underwent laparoscopic surgery during the study period. There were no conversions to laparotomy. 71 surgeries were performed in the first trimester (group 1, mean gestational age 7.7 ± 1.9 weeks) and 46 were performed in the second and third trimesters (group 2, mean gestational age 18.1 ± 4.3 weeks). More patients in group 1 underwent surgery for suspected adnexal torsion (
p
< 0.001), while more patients in group 2 underwent surgery for presumptive cholecystitis (
p
= 0.014) and persistent ovarian mass (
p
= 0.011). The interval between admission and surgery differed significantly between the groups and was longer in group 2 compared to group 1 (18.2 ± 24.0 vs. 6.8 ± 10.6 h,
p
= 0.001). No difference was found between the two groups regarding surgical complications, histopathological findings and pregnancy outcomes.
Conclusion
In our experience, laparoscopic surgery in advanced pregnancy was found to be feasible and safe as in early pregnancy, without any adverse effects on pregnancy outcome.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-015-3744-8</identifier><identifier>PMID: 25958071</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adnexa Uteri - surgery ; Adult ; Cholecystitis - surgery ; Cysts - surgery ; Endocrinology ; Female ; General Gynecology ; Gestational Age ; Gynecology ; Human Genetics ; Humans ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Laparotomy ; Medicine ; Medicine & Public Health ; Obstetrics/Perinatology/Midwifery ; Pregnancy ; Pregnancy Complications - surgery ; Pregnancy Outcome ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; Pregnancy Trimester, Third ; Retrospective Studies ; Surgery ; Surgical outcomes ; Torsion Abnormality - surgery ; Treatment Outcome ; Young Adult</subject><ispartof>Archives of gynecology and obstetrics, 2015-11, Vol.292 (5), p.1063-1068</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2015). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-8f574cf0fbce1e02a0228ddc6d1459a9de3295fc5505477b4e949a12489441b63</citedby><cites>FETCH-LOGICAL-c438t-8f574cf0fbce1e02a0228ddc6d1459a9de3295fc5505477b4e949a12489441b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-015-3744-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-015-3744-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25958071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Weiner, Eran</creatorcontrib><creatorcontrib>Mizrachi, Yossi</creatorcontrib><creatorcontrib>Keidar, Ran</creatorcontrib><creatorcontrib>Kerner, Ram</creatorcontrib><creatorcontrib>Golan, Abraham</creatorcontrib><creatorcontrib>Sagiv, Ron</creatorcontrib><title>Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose
The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy.
Methods
We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy in our institution between 1996 and 2013.
Results
We reviewed cases of 117 pregnant women who underwent laparoscopic surgery during the study period. There were no conversions to laparotomy. 71 surgeries were performed in the first trimester (group 1, mean gestational age 7.7 ± 1.9 weeks) and 46 were performed in the second and third trimesters (group 2, mean gestational age 18.1 ± 4.3 weeks). More patients in group 1 underwent surgery for suspected adnexal torsion (
p
< 0.001), while more patients in group 2 underwent surgery for presumptive cholecystitis (
p
= 0.014) and persistent ovarian mass (
p
= 0.011). The interval between admission and surgery differed significantly between the groups and was longer in group 2 compared to group 1 (18.2 ± 24.0 vs. 6.8 ± 10.6 h,
p
= 0.001). No difference was found between the two groups regarding surgical complications, histopathological findings and pregnancy outcomes.
Conclusion
In our experience, laparoscopic surgery in advanced pregnancy was found to be feasible and safe as in early pregnancy, without any adverse effects on pregnancy outcome.</description><subject>Adnexa Uteri - surgery</subject><subject>Adult</subject><subject>Cholecystitis - surgery</subject><subject>Cysts - surgery</subject><subject>Endocrinology</subject><subject>Female</subject><subject>General Gynecology</subject><subject>Gestational Age</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Laparotomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - surgery</subject><subject>Pregnancy Outcome</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy Trimester, Second</subject><subject>Pregnancy Trimester, Third</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Torsion Abnormality - surgery</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kM1KAzEURoMotlYfwI0MuHEzem8mmSRLKf5BQRe6DmkmU1pmJmPSEfr2prRaEFzlI_fcL-EQcolwiwDiLgIwYDkgzwvBWC6PyBhZQXMQiMdkDGqboRQjchbjCgCplOUpGVGuuEzQmLzNTG-Cj9b3S5vFISxc2GS9C7UPrauyZZeZ6st0NuU-uEWX4iazvk1b6WrtM2dCsznMzslJbZroLvbnhHw8PrxPn_PZ69PL9H6WW1bIdS5rLpitoZ5bhw6oAUplVdmyQsaVUZUrqOK15Rw4E2LOnGLKIGVSMYbzspiQm11vH_zn4OJat8toXdOYzvkhahQoU0UpaUKv_6ArP4Qu_U5TWiKnWAiVKNxRNumIwdW6D8vWhI1G0FvdeqdbJ916q1vLtHO1bx7mydbvxo_fBNAdENOoS24PT__f-g1fMInx</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Weiner, Eran</creator><creator>Mizrachi, Yossi</creator><creator>Keidar, Ran</creator><creator>Kerner, Ram</creator><creator>Golan, Abraham</creator><creator>Sagiv, Ron</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20151101</creationdate><title>Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy</title><author>Weiner, Eran ; Mizrachi, Yossi ; Keidar, Ran ; Kerner, Ram ; Golan, Abraham ; Sagiv, Ron</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-8f574cf0fbce1e02a0228ddc6d1459a9de3295fc5505477b4e949a12489441b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adnexa Uteri - surgery</topic><topic>Adult</topic><topic>Cholecystitis - surgery</topic><topic>Cysts - surgery</topic><topic>Endocrinology</topic><topic>Female</topic><topic>General Gynecology</topic><topic>Gestational Age</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Laparotomy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - surgery</topic><topic>Pregnancy Outcome</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy Trimester, Second</topic><topic>Pregnancy Trimester, Third</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Torsion Abnormality - surgery</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Weiner, Eran</creatorcontrib><creatorcontrib>Mizrachi, Yossi</creatorcontrib><creatorcontrib>Keidar, Ran</creatorcontrib><creatorcontrib>Kerner, Ram</creatorcontrib><creatorcontrib>Golan, Abraham</creatorcontrib><creatorcontrib>Sagiv, Ron</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Weiner, Eran</au><au>Mizrachi, Yossi</au><au>Keidar, Ran</au><au>Kerner, Ram</au><au>Golan, Abraham</au><au>Sagiv, Ron</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy</atitle><jtitle>Archives of gynecology and obstetrics</jtitle><stitle>Arch Gynecol Obstet</stitle><addtitle>Arch Gynecol Obstet</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>292</volume><issue>5</issue><spage>1063</spage><epage>1068</epage><pages>1063-1068</pages><issn>0932-0067</issn><eissn>1432-0711</eissn><abstract>Purpose
The aim of our study was to assess the clinical and obstetric outcomes of laparoscopic surgeries performed during advanced pregnancy compared to those performed in early pregnancy.
Methods
We retrospectively reviewed all cases of patients who underwent laparoscopic surgery during pregnancy in our institution between 1996 and 2013.
Results
We reviewed cases of 117 pregnant women who underwent laparoscopic surgery during the study period. There were no conversions to laparotomy. 71 surgeries were performed in the first trimester (group 1, mean gestational age 7.7 ± 1.9 weeks) and 46 were performed in the second and third trimesters (group 2, mean gestational age 18.1 ± 4.3 weeks). More patients in group 1 underwent surgery for suspected adnexal torsion (
p
< 0.001), while more patients in group 2 underwent surgery for presumptive cholecystitis (
p
= 0.014) and persistent ovarian mass (
p
= 0.011). The interval between admission and surgery differed significantly between the groups and was longer in group 2 compared to group 1 (18.2 ± 24.0 vs. 6.8 ± 10.6 h,
p
= 0.001). No difference was found between the two groups regarding surgical complications, histopathological findings and pregnancy outcomes.
Conclusion
In our experience, laparoscopic surgery in advanced pregnancy was found to be feasible and safe as in early pregnancy, without any adverse effects on pregnancy outcome.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25958071</pmid><doi>10.1007/s00404-015-3744-8</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0932-0067 |
| ispartof | Archives of gynecology and obstetrics, 2015-11, Vol.292 (5), p.1063-1068 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adnexa Uteri - surgery Adult Cholecystitis - surgery Cysts - surgery Endocrinology Female General Gynecology Gestational Age Gynecology Human Genetics Humans Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Laparotomy Medicine Medicine & Public Health Obstetrics/Perinatology/Midwifery Pregnancy Pregnancy Complications - surgery Pregnancy Outcome Pregnancy Trimester, First Pregnancy Trimester, Second Pregnancy Trimester, Third Retrospective Studies Surgery Surgical outcomes Torsion Abnormality - surgery Treatment Outcome Young Adult |
| title | Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy |
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