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Archives of Gynecology and Obstetrics

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01-11-2015 | General Gynecology

Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy

Authors: Eran Weiner, Yossi Mizrachi, Ran Keidar, Ram Kerner, Abraham Golan, Ron Sagiv

Published in: Archives of Gynecology and Obstetrics | Issue 5/2015

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.

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Title: Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy
Authors: Eran Weiner
Yossi Mizrachi
Ran Keidar
Ram Kerner
Abraham Golan
Ron Sagiv
Publication date: 01-11-2015
Publisher: Springer Berlin Heidelberg
Published in: Archives of Gynecology and Obstetrics / Issue 5/2015
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-015-3744-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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