Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy.
Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy.
复制标题
DOI：
10.4103/0972-9941.171960
复制
发表时间：
2016-01
影响因子：
0.8
通讯作者：
Zapardiel I
中科院分区：
文献类型：
--
作者：
Minig L;Otaño L;Cruz P;Patrono MG;Botazzi C;Zapardiel I
目的探讨腹腔镜手术治疗妊娠早期附件肿块的可行性和安全性。对1999年1月至2012年11月期间在阿根廷布宜诺斯艾利斯意大利医院妇产科接受腹腔镜手术治疗附件肿块的所有怀孕妇女的前瞻性数据收集进行了一项观察性研究。总共包括13名妇女。手术时胎龄的中位数（范围）为7周（范围：5-12周）。手术主要指征为囊肿扭转4例（30.7%），卵巢囊肿破裂4例（30.7%）。其他适应症包括持续性卵巢囊肿3例（23%）和异位妊娠2例（15.3%）。所有病例均未发生手术并发症和自然流产，术后无明显并发症。未发现宫内发育迟缓、早产、先天性缺陷或新生儿并发症。在怀孕的前三个月，腹腔镜手术治疗复杂的附件肿块似乎对母亲和胎儿都是安全的。为了支持这些结论，仍需要对更多病例进行进一步研究。
To evaluate the feasibility and safety of laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy. An observational study of a prospective collection of data of all pregnant women who underwent laparoscopic surgery for adnexal masses during the first trimester of pregnancy between January 1999 and November 2012 at the Obstetrics and Gynecology Department of the Italian Hospital of Buenos Aires, Buenos Aires, Argentina was performed. A total of 13 women were included. The median (range) gestational age at the moment of surgical procedure was 7 weeks (range: 5-12 weeks). The main indication of surgery was cyst torsion in four cases (30.7%) and rupture of ovarian cysts in four cases (30.7%). Other indications included persistent ovarian cyst in three patients (23%) and heterotopic pregnancy in two cases (15.3%). Neither surgical complications nor spontaneous abortions occurred in any of the cases and the post-operative period was uneventful in all the cases. No cases of intrauterine growth retardation, preterm delivery, congenital defects, or neonatal complications were registered. The treatment of complicated adnexal masses by laparoscopic surgery during the first trimester of pregnancy appears to be a safe procedure both for the mother and for the foetus. Additional research on a larger number of cases is still needed to support these conclusions.