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Immune thrombocytopenic purpura during pregnancy: laparoscopic treatment
B V Anglin1, C Rutherford, R Ramus
1Department of Hematology/Oncology, University of Texas Southwestern Medical Center, Dallas 75235-9092, USA.
Background And Objectives:
Laparoscopic surgical techniques in pregnancy have been accepted and pose minimal risks to the patient and fetus. We present the first reported case of a pregnant woman with immune thrombocytopenia purpura who underwent laparoscopic splenectomy during the second trimester.
Methods And Results:
The anesthesia, hematology, and obstetrics services closely followed the patient's preoperative and intraoperative courses. After receiving immunization, stress close steroids, and prophylactic antibiotics, she underwent a successful laparoscopic splenectomy. After a short hospital stay, the patient was discharged home.
Conclusion:
Immune thrombocytopenia purpura can be an indication for splenectomy. As demonstrated in appendectomy, cholecystectomy, and our case presentation, laparoscopic splenectomy can be safely performed during pregnancy.
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