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[Laparotomy performed in pregnant women due to non-obstetrical causes]
J Dudkiewicz1, T Kowalski, D Grzonka
1Katedry i Kliniki Ginekologii S.A.M. w Zabrzu.
Objective:
The clinical characteristics of laparotomy during pregnancy were investigated.
Materials And Methods:
A series of 24 cases of laparotomy during pregnancy was investigated with respect to clinicopathologic features and outcome.
Results:
Among 23 cases there were 20 ovarian tumors, 2 acute appendicitis and 2 uterine fibroid. Gestational ages at the time of surgery ranged from 16 to 24 weeks of patients with ovarian tumors and from 30 to 32 weeks in others. No intraoperative or postoperative maternal or fetal complications occurred. One patient had a stage III ovarian carcinoma and went to total hysterectomy, and other patient had a stage IA ovarian carcinoma.
Conclusions:
Appendectomy can be performed without additional risk to the fetus for those who require surgical intervention during pregnancy. Ovarian surgery in pregnancy for persistent masses is important to obtain a final histologic diagnosis.