Laparoscopic myomectomy during pregnancy

Gynaecological Endoscopy Pub Date : 2008-10-09 DOI:10.1046/j.1365-2508.1998.00167.x

Dov Luxman, Jacob R. Cohen, Menachem P. David

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引用次数: 2

Abstract

Objective

To describe a unique case of laparoscopic myomectomy during pregnancy.

Setting

A university-affiliated maternity hospital.

Subject

A 27-year-old primigravida presenting with acute abdominal pain at 15 weeks of gestation. A diagnosis of torsion of a subserous myoma was made following failure of conservative treatment.

Intervention

On laparoscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparoscopic myomectomy was successfully accomplished.

Results

No intra- or postoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation.

Conclusions

Laparoscopic myomectomy during pregnancy is feasible. This procedure cannot be generally recommended since data concerning the safety of laparoscopic operation in general and myomectomy in particular, are limited. The patients should be carefully selected, and the operation should be performed by an experienced surgeon to guarantee a favourable outcome.

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妊娠期腹腔镜子宫肌瘤切除术

目的报道一例独特的妊娠期腹腔镜子宫肌瘤切除术。设置大学附属妇产医院。研究对象一名27岁的初产妇，妊娠15周出现急性腹痛。在保守治疗失败后，诊断为浆膜下肌瘤扭转。腹腔镜检查发现一个7厘米的浆膜下带蒂肌瘤。成功完成腹腔镜子宫肌瘤切除术。结果无术中、术后并发症发生。这名妇女在怀孕39周时顺产了一个健康的婴儿。结论妊娠期腹腔镜子宫肌瘤切除术是可行的。由于有关腹腔镜手术的安全性，特别是子宫肌瘤切除术的数据有限，因此不能普遍推荐该手术。患者应仔细选择，手术应由经验丰富的外科医生进行，以保证良好的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Gynaecological Endoscopy

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