Surgical laparoscopy, endoscopy & percutaneous techniques · 2012
Incidental fetoscopy during laparoscopy in pregnancy: management of perforation of the gravid uterus.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Joumblat Natalie, Grubbs Brendan, Chmait Ramen H
Аннотация
INTRODUCTION: Laparoscopy during pregnancy is safe and effective, but poses unique challenges because of alterations in the intra-abdominal anatomy induced by the gravid uterus.
CASE: A 33-year-old female with an intrauterine pregnancy at 19 weeks' gestation presented with symptoms of appendicitis. Diagnostic laparoscopy resulted in incidental uterine perforation and insufflation. Transition to midline laparotomy was made to suture uterine puncture sites from the trocar and Veress needle. Preterm premature rupture of membranes and abruption were diagnosed at 32 weeks' gestation, and the patient was delivered. The child was alive and well at 12 months of age.
CONCLUSIONS: Lessons from the emerging field of minimally invasive fetal surgery regarding the management of surgical entry into the gravid uterus can be applied to the rare case of incidental uterine perforation at the time of laparoscopy during pregnancy.
CASE: A 33-year-old female with an intrauterine pregnancy at 19 weeks' gestation presented with symptoms of appendicitis. Diagnostic laparoscopy resulted in incidental uterine perforation and insufflation. Transition to midline laparotomy was made to suture uterine puncture sites from the trocar and Veress needle. Preterm premature rupture of membranes and abruption were diagnosed at 32 weeks' gestation, and the patient was delivered. The child was alive and well at 12 months of age.
CONCLUSIONS: Lessons from the emerging field of minimally invasive fetal surgery regarding the management of surgical entry into the gravid uterus can be applied to the rare case of incidental uterine perforation at the time of laparoscopy during pregnancy.