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Laparoscopy in Pregnancy: A Literature Review

CHOHAN, LUBNA MD; KILPATRICK, CHARLIE C. MD

Clinical Obstetrics & Gynecology:
doi: 10.1097/GRF.0b013e3181bea92e
Surgical Intervention in Pregnancy
Abstract

The first laparoscopic surgery in pregnancy was a cholecystectomy in 1991. Since that time, a number of articles and case series have been published addressing laparoscopy in pregnancy. Current recommendations are on the basis of these findings, such as operating during any trimester in pregnancy can be safely performed, fetal heart monitoring should be made preoperatively and postoperatively, prophylactic tocolytics should not be used, and multiple entry techniques (Veress needle, Hasson trocar, or optical trocar) can be safely performed. This article will review anesthesia, fetal effects, obesity, complications, adnexal masses, and gastrointestinal issues.

Author Information

Department of Obstetrics, Gynecology, and Reproductive Sciences, The University of Texas Medical School, Houston, Texas

Correspondence: Lubna Chohan, MD, Department of Obstetrics, Gynecology, and Reproductive Sciences, The University of Texas Medical School, Houston, TX. Email: Lubna.Chohan@uth.tmc.edu

© 2009 Lippincott Williams & Wilkins, Inc.