medigraphic.com
ISSN 1665-2576 (Print)

2004, Number 2

<< Back Next >>

Rev Mex Cir Endoscop 2004; 5 (2)

Laparoscopic surgery and pregnancy

Vega CGR, Preciado BCY, Landa RGJ, León DIE, Marín MFX, Serrano MV, Barrera GLR, Solórzano UD

Language: Spanish
References: 42
Page: 80-89
PDF size: 132.03 Kb.


ABSTRACT

Objective: To show the results of 27 patients that presented an abdominal urgency during pregnancy solved by laparoscopic surgery. Design: Longitudinal, retrospective, not comparative report with exclusion criteria. Setting: Second level hospital at Cuernavaca, Morelos. Materials: 27 pregnant patients were operated by laparoscopy. The study period embraced eight years, from 01-01-1995 to 12-31-2002 and a preoperative protocol was used in all patients. Results: 27 procedures were realized by laparoscopy, all with acute abdominal in conjunction with pregnancy. The frequency found of pregnancy and abdominal pain that required any type of surgery was 1:1,280 cases. The average age was 24.03 years old, performing laparoscopic surgeries during the three trimesters of pregnancy, the average surgical time was 69.51 minutes, drainages were placed in all patients, the hospitalization time average was of 1.7 days (1-4 days), only three cases (11.11%) presented complications which do not required another surgery, only one case (3.7%) suffered fetal lost after the laparoscopic procedure and there was not maternal morbidity during the presenting study. Conclusion: It can be actually concluded that laparoscopic surgery must be indicated in all pregnant women, demonstrating high safety during gestational period, offering great number of benefits to both mother and fetus, when these procedures are done by qualified and experienced surgeons.


REFERENCES

  1. Kammerer WS. Nonobstetric surgery during pregnancy. Med Clin North Am 1979; 63: 1157-1163.

  2. Kort B, Katz VI, Watson WJ. The effect of nonobstetric operation during pregnancy. Surg Gynecol Obstet 1978; 44: 432-434.

  3. Schreiber JH. Laparoscopic appendectomy in pregnancy. Surg Endosc 1990; 4: 100-102.

  4. Bonfante RE, Bolaños AR, Juárez GL, Estrada AA, Castelazo ME. Colecistectomía durante el embarazo. Ginecol Obstet Mex 1998; 66: 259-261.

  5. Flowers JL, Bailey RW, Scovill WA, Zucker KA. The Baltimore experience with laparoscopic management of acute cholecystitis. Am J Surg 1991; 161: 388-392.

  6. Berci G, Sackier J. The Los Angeles experience with laparoscopic cholecystectomy. Am J Surg 1991; 161: 382-384.

  7. Olsen DO. Laparoscopic cholecystectomy. Am J Surg 1991; 161: 339-344.

  8. McKernan JB. Laparoscopic cholecystectomy. Am Surg 1991; 57: 309-312.

  9. Cuschieri A, Dubois F, Mouiel J et al. The European experience with laparoscopic cholecystectomy. Am J Surg 1991; 161: 385-387.

  10. Gadacz TR, Talamini MA. Traditional versus laparoscopic cholecystectomy. Am J Surg 1991; 161: 336-338.

  11. Reddick EJ, Olsen D, Spaw A. Safe performance of difficult laparoscopic cholecystectomy. Am J Surg 1991; 161: 377-381.

  12. Cervantes J, Rojas G, Parada S, Garmilla J, Cervantes A. Colecistectomía laparoscópica. Experiencia Inicial. An Med Asoc Med Hosp ABC 1991; 00: 3: 96-101.

  13. Ruiz SO, Salas RR, Flores AT, Azuara FH, García TA, Chávez RM, Luna OR. Colecistectomía por laparoscopia. Experiencia en los primeros noventa casos. Rev Sanid Milit Méx 1992; 46: 9-14.

  14. Oropeza MR, Schuchleib CA, Chousleb KA, Tort MA, Ugalde VF, Rodríguez CA. Análisis comparativo de 150 colecistectomías con el método tradicional y 150 por laparoscópica en un mismo servicio. Cir Gen 1993; 15: 165-168.

  15. National Institutes of Health Consensus Development Conference Statement: Gallstones and Laparoscopic Cholecystectomy. J Laparosc Endosc Surg 1993; 3: 77-90.

  16. Vega CG, Arriola SJ, Cañas LM, Muñoz IJ, Ortiz de la Peña RJ, Cervantes CJ. Tres años de experiencia clínica en colecistectomía por laparoscopia. An Med Asoc Med Hosp ABC 1993; 38: 127-130.

  17. Arvidsson D, Gerdin E. Laparoscopic cholecystectomy during pregnancy. Surg Laparosc Endosc 1991; 1: 193-194.

  18. de Perrot M, Jenny A, Morales M, Kohlik M, Morel P. Laparoscopic appendectomy during pregnancy. Surg Laparosc Endosc Percutan Tech 2000; 10: 368-371.

  19. http://www.sages.org/sg_pub23.html.

  20. Schwartzberg BS, Conyers JA, Moore JA. First trimester of pregnancy laparoscopic cholecystectomy. Surg Endosc 1997; 11: 1216-1217.

  21. Bennett TL, Estes N. Laparoscopic cholecystectomy in the second trimester of pregnancy. A case report. J Reprod Med 1993; 38: 833-834.

  22. Baskies AM. Laparoscopic cholecystectomy in the third trimester of pregnancy. Am Surg 1997; 63: 844-845.

  23. Thomas SJ, Brisson P. Laparoscopic appendectomy and cholecystectomy during pregnancy: six case reports. JSLS 1998; 2: 41-46.

  24. Taylor EW, Kennedy CA, Dunham RH, Bloch JH. Diagnostic laparoscopy in women with acute abdominal pain. Surg Laparosc Endosc 1995;5:125-128.

  25. Wittich Ac, Lockrow EG, Fox JT. Laparoscopic management of adnexal torsion in early pregnancy: a case report. Mil Med 1994; 159: 254-255.

  26. Rusher AH, Fields B, Henson K. Laparoscopic cholecystectomy in pregnancy: contraindicated or indicated. J Ark Med Soc 1993; 89: 383-384.

  27. Soper NJ. Effect nonbiliary problems on laparoscopic cholecystectomy. Am J Surg 1993; 165: 522-524.

  28. Hart RO, Tamadon A, Fitzgibbons RJ, Fleming A. Open laparoscopic cholecystectomy in pregnancy. Surg Laparosc Endosc 1993; 3: 35-39.

  29. Schreiber JH. Results of outpatient laparoscopic appendectomy in women. Endoscopy 1994; 26: 292-298.

  30. Posta CG. Laparoscopic surgery in pregnancy: report on two cases. J Laparoendosc Surg 1995; 5: 203-205.

  31. Hasson H. Modificed instrument and method for laparoscopy. Am J Obst Gyn 1988; 151: 67-81.

  32. Dávila AF, Dávila AU, Montero PJ, Lemus AL, López AF, Villegas. Colecistectomía Laparoscópica con un solo puerto visible de 5 mm. Rev Mex Cir Endosc 2001; 2: 16-20.

  33. Hernández AA. Colecistitis y Embarazo. Educ Invest Clin 2000; 1: 19-21.

  34. Moncayo VR, Pacheco BF, Gómez RH, Bernánrdez ZF. Apendicitis aguda y embarazo. Ginecol Obst Mex 1998; 66: 392-395.

  35. Soto GM, Valencia RJ. Cirugía laparoscópica en pacientes embarazadas. Cir Gen 2002; 24: 217-220.

  36. Weber SA, Gartiez MD, Itzkovich RN, Núñez VE. Analysis of the increasing role of laparoscopy in the management of acute abdomen in pregnancy. Ginecol Obstet Mex 2001; 69: 422-430.

  37. Rizzo AG. Laparoscopic surgery in pregnancy: Long–term follow-up. J Laparoendosc Adv Surg Tech A 2003; 13: 11-15.

  38. Affleck DG, Handrahan DL, Egger MJ, Price RR. The laparoscopic management of appendicitis and cholelithiasis during pregnancy. Am J Surg 1999; 178: 523-529.

  39. Sen G, Nagabhushan JS, Joypaul V. Laparoscopic cholecystectomy in third trimester of pregnancy. J Obstet Gynaecol 2002; 22: 556-557.

  40. Pucci OR, Seed RW. Case report of laparoscopic cholecystectomy in the third trimester of pregnancy. Am J Obstet Gynecol 1991; 165: 401-402.

  41. Curet MJ. Special problems in laparoscopic surgery. Previous abdominal surgery, obesity and pregnancy. Surg Clin North Am 2000; 80: 1093-1110.

  42. Muench J, Albrink M, Serafini F, Rosemurgy A, Carey L, Murr MM. Delay in treatment of biliary disease during pregnancy increases morbidity and can be avoided with safe laparoscopic cholecystectomy. Am Surg 2001; 67: 539-542.




2020     |     www.medigraphic.com