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Laparoscopic surgery in pregnancy

Michael P Stany, MD
John C Elkas, MD, JD
Section Editors
Susan M Ramin, MD
David L Hepner, MD
Tommaso Falcone, MD, FRCSC, FACOG
Deputy Editor
Kristen Eckler, MD, FACOG


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 intraabdominal 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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Literature review current through: Sep 2016. | This topic last updated: Mar 14, 2016.
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