Abstract
ObjectiveSingle-port laparoscopy has become a feasible and safe approach for the management of benign adnexal masses during pregnancy. To our knowledge, there are few reports on the feasibility and safety of single-port laparoscopy for adnexal mass removal during pregnancy. Our study reports the use of single-port laparoscopy in adnexal mass removal during pregnancy in our hospital.MethodsWe included 10 cases of single-port laparoscopic surgery for adnexal mass removal during pregnancy in the West China Second University Hospital between January 2017 and March 2020. Median values were found using SPSS20. When the p-value was <0.05, the median and interquartile range were used. All patients provided informed consent.ResultsThe following median values were recorded: surgical time, 112.50 min; blood loss, 25 ml; postoperative hospital stay, 3 days; postoperative pain [visual analog scale (VAS)] at 6 h, 3; and postoperative pain (VAS) at 24 h, 2. Our study reported no postoperative spontaneous abortions. There was one preterm birth.ConclusionSingle-port laparoscopy appears to be safe for both the mother and the fetus.
Highlights
Conventional laparoscopy has been widely used as a gold standard surgical method for adnexal mass removal
Singleport laparoscopic surgery (SPLS) has become a feasible and safe approach for the management of benign adnexal masses when compared with conventional laparoscopy [3]
Our study reports the use of SPLS in adnexal mass removal during pregnancy in our hospital
Summary
Conventional laparoscopy has been widely used as a gold standard surgical method for adnexal mass removal. It is associated with shorter hospital stays, less operative pain, and fewer intraoperative complications when compared with laparotomy. Between 1:500 and 1:635, women require non-obstetric surgery during pregnancy [1]. The most common gynecological nonobstetric surgery is adnexal mass removal, with an incidence rate between 0.1 and 2.4% [2]. Singleport laparoscopic surgery (SPLS) has become a feasible and safe approach for the management of benign adnexal masses when compared with conventional laparoscopy [3]. To our knowledge, there are few reports on the feasibility and safety of SPLS used in adnexal mass removal during pregnancy. Given the lack of consensus on adnexal mass treatment
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