Laparoscopic surgery in pregnancy
- Michael P Stany, MD
Michael P Stany, MD
- Assistant Professor
- Uniformed Services University
- Department of Obestetrics and Gynecology
- Walter Reed Army Medical Center
- John C Elkas, MD, JD
John C Elkas, MD, JD
- Associate Professor
- Inova Teaching Faculty
- Department of Obstetrics and Gynecology
- Virginia Commonwealth University
- Section Editors
- Susan M Ramin, MD
Susan M Ramin, MD
- Section Editor — Obstetrics
- Professor of Obstetrics and Gynecology
- Baylor College of Medicine
- David L Hepner, MD
David L Hepner, MD
- Section Editor — Obstetric Anesthesia
- Associate Professor of Anaesthesia
- Harvard Medical School
- Tommaso Falcone, MD, FRCSC, FACOG
Tommaso Falcone, MD, FRCSC, FACOG
- Section Editor — Minimally Invasive Gynecologic Surgery
- Professor of Obstetrics and Gynecology
- Cleveland Clinic Lerner College of Medicine
The advantages of laparoscopic surgery are similar for pregnant and nonpregnant women; nevertheless, this procedure had been avoided during pregnancy because of concerns that it may be harmful to the fetus. Potential concerns include:
●The rise in intra-abdominal pressure during pneumoperitoneum could decrease utero-placental blood flow and result in fetal hypoxia
●Fetal acidosis could develop from absorption of carbon dioxide (CO2)
●The fetus could be injured directly or indirectly if the uterus is perforated by a trocar or Veress needle.
●Uterine perforation may result in preterm premature rupture of the membranes and preterm delivery.
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