Laparoscopic ovarian cystectomy in the gravid patient

Abstract

To demonstrate safety and efficacy of laparoscopic surgery in pregnancy while describing specific surgical techniques employed in this particular population. The surgery was performed at an academic affiliated community hospital. The patient was a 24 year old G2P1001 at 17 weeks gestation undergoing laparoscopic surgical management of ovarian torsion with a 12 cm ovarian dermoid cyst. We performed a laparoscopic ovarian cystectomy and detorsion of an ovary in a gravid patient in the second trimester. Laparoscopic surgery is safe and feasible during pregnancy. Entry using an open approach with a multiport device may enhance safety and minimize the need for placement of multiple assistant trocars. Given adnexal hypervascularity, delicate tissue handling and aggressive hemostasis is of utmost importance. It is beneficial for even experienced surgeons to refamiliarize themselves with laparoscopy in pregnancy prior to performing these operations.