Abstract
Study Objective To present principles and techniques for safe and efficient laparoscopic surgery during pregnancy. Design Stepwise demonstration of techniques with narrated video footage. Setting Laparoscopic surgery during pregnancy is safe and effective with an associated miscarriage rate of 1.3%. When feasible, it should be performed early in the 2nd trimester. In this video, we review key principles and techniques to safely perform laparoscopic surgery during pregnancy. Patients or Participants A 34-year-old female at 18 weeks 4 days gestation presents with a 7 cm ovarian mass causing right lower quadrant (RLQ) pelvic pain. Interventions The key principles for safe and effective laparoscopic surgery during pregnancy include: Measurements and Main Results The patient recovered well without any obstetrical or postoperative complications. Conclusion When performing laparoscopic surgery in pregnancy, a surgeon should remember these key perioperative modifications for a safe and efficient procedure.
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