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Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique
Luke William Nelson1, Elliot MacKenzie1
1Dunedin Public Hospital, 201 Great King Street, Dunedin 9010, New Zealand.
Case Reports in Obstetrics and Gynecology
|July 25, 2022
Summary
Single-incision laparoscopic surgery (SILS) offers a safe and effective method for removing large adnexal cysts during pregnancy. This minimally invasive approach minimizes complications and ensures a good recovery for both mother and fetus.
Area of Science:
- Reproductive Medicine
- Minimally Invasive Surgery
- Obstetrics
Background:
- Prenatal ultrasound increasingly detects adnexal masses during pregnancy.
- Management requires balancing maternal and fetal risks.
- Laparoscopy is a safe surgical option for pregnant patients.
Observation:
- A 21-year-old female in her second trimester presented with a large 20 cm right adnexal cyst.
- The patient underwent laparoscopic cystectomy using the single-incision laparoscopic surgery (SILS) technique.
Findings:
- The SILS procedure was performed without intraoperative complications.
- The patient experienced a good postoperative recovery.
Implications:
- Single-incision laparoscopic surgery (SILS) is a viable and safe approach for managing adnexal masses in pregnant patients.
- SILS may reduce perioperative complications compared to traditional laparoscopy or open surgery.
- This technique supports favorable maternal and fetal outcomes in obstetric surgery.

