Pregnancy outcome after laparoscopy or laparotomy in pregnancy.
THE JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS 2003;
10:200-4. [PMID:
12732772 DOI:
10.1016/s1074-3804(05)60299-x]
[Citation(s) in RCA: 92] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
STUDY OBJECTIVE
To assess obstetric performance and fetal outcomes after laparoscopy or laparotomy performed during pregnancy.
DESIGN
Nationwide, multicenter, retrospective chart review (Canadian Task Force classification II-2).
SETTING
Seventeen hospitals throughout Israel: 12 university or university-affiliated hospitals and 5 general hospitals.
PATIENTS
Three hundred eighty-nine pregnant women.
INTERVENTION
Laparoscopy or laparotomy for various indications.
MEASUREMENTS AND MAIN RESULTS
Of 192 laparoscopies performed, 141 were during the first, 46 during the second, and 5 during the third trimester; respective figures for 197 laparotomies were 63, 110, and 24. No intraoperative complications were reported for either procedure. Six and 25 women had complications after laparoscopy and laparotomy, respectively. There was no significant difference in abortion rates between groups. Mean gestational age at delivery and mean birthweight were comparable between groups. No significant difference was found in frequency of fetal anomalies between groups or when compared with the Israel register of anomalies.
CONCLUSION
Operative laparoscopy seems to be as safe as laparotomy in pregnancy.
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