We report on the first case of an isobaric (gasless) laparoscopic myomectomy during the second trimester of pregnancy. Our patient had acute abdominal pain that did not respond to medical management. The procedure was performed under spinal anesthesia with conscious sedation. The remainder of the pregnancy was unremarkable. We believe that Surgical management of uterine leiomyoma during pregnancy may be successfully performed in carefully selected patients. Laparotomy can be avoided, and pregnant patients can be managed safely by operative laparoscopy. With isobaric laparoscopy, the adverse effects and potential risks of CO, insufflation are eliminated. The procedure can be performed under loco-regional anesthesia. The uterine closure can be performed safely and quickly as in laparotomy. (c) 2005 AAGL. All rights reserved.

Sesti, F., Melgrati, L., Damiani, A., Franzoni, G., Marziali, M. (2005). Isobaric (gasless) laparoscopic myomectomy during pregnancy. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 12(4), 379-381 [10.1016/j.jmig.2005.05.012].

Isobaric (gasless) laparoscopic myomectomy during pregnancy

SESTI, FRANCESCO;
2005-01-01

Abstract

We report on the first case of an isobaric (gasless) laparoscopic myomectomy during the second trimester of pregnancy. Our patient had acute abdominal pain that did not respond to medical management. The procedure was performed under spinal anesthesia with conscious sedation. The remainder of the pregnancy was unremarkable. We believe that Surgical management of uterine leiomyoma during pregnancy may be successfully performed in carefully selected patients. Laparotomy can be avoided, and pregnant patients can be managed safely by operative laparoscopy. With isobaric laparoscopy, the adverse effects and potential risks of CO, insufflation are eliminated. The procedure can be performed under loco-regional anesthesia. The uterine closure can be performed safely and quickly as in laparotomy. (c) 2005 AAGL. All rights reserved.
Pubblicato
Rilevanza internazionale
Articolo
Sì, ma tipo non specificato
Settore MED/40 - Ginecologia e Ostetricia
English
Con Impact Factor ISI
Isobaric gasless laparoscopy; Myomectomy; Pregnancy; Subcutaneous abdominal wall lifting
Sesti, F., Melgrati, L., Damiani, A., Franzoni, G., Marziali, M. (2005). Isobaric (gasless) laparoscopic myomectomy during pregnancy. JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 12(4), 379-381 [10.1016/j.jmig.2005.05.012].
Sesti, F; Melgrati, L; Damiani, A; Franzoni, G; Marziali, M
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/34313
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