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[Laparoscopic surgery during pregnancy].

Visnja Nesek Adam1, Viviana Mrsić, Aleksandra Smiljanić

  • 1Zavod za anesteziologiju, reanimatologiju i intenzivno lijecenje, OB Sveti Duh, Zagreb.

Lijecnicki Vjesnik
|March 10, 2005
PubMed
Summary

Laparoscopic surgery is safe during pregnancy. Three pregnant women underwent successful laparoscopic procedures, including cholecystectomy and appendectomy, with no complications and healthy births.

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Area of Science:

  • Minimally Invasive Surgery
  • Obstetrics and Gynecology
  • Surgical Innovation

Background:

  • Historically, pregnancy was an absolute contraindication for laparoscopic surgery due to concerns about carbon dioxide (CO2) pneumoperitoneum effects on the fetus.
  • Advancements in laparoscopic techniques and monitoring have led to re-evaluation of its safety in pregnant patients.
  • Recent literature includes case reports suggesting successful laparoscopic interventions during gestation.

Observation:

  • Three pregnant patients at the University Department of Surgery of Sveti Duh General Hospital in Zagreb underwent laparoscopic procedures.
  • The surgeries performed included two laparoscopic cholecystectomies and one laparoscopic appendectomy.
  • These procedures were conducted starting from 1992, following the introduction of laparoscopic cholecystectomy at the institution.

Findings:

  • All three patients experienced uneventful surgical courses with no intraoperative or postoperative complications.
  • The pregnancies proceeded to term without issue.
  • All patients delivered healthy infants spontaneously at term.

Implications:

  • Laparoscopic surgery can be safely performed in pregnant patients, challenging previous contraindications.
  • This approach offers a minimally invasive option for surgical conditions arising during pregnancy.
  • Successful outcomes suggest that careful patient selection and surgical management can ensure fetal and maternal well-being.

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