{"title":"妊娠期腹腔镜子宫肌瘤切除术","authors":"Dov Luxman, Jacob R. Cohen, Menachem P. David","doi":"10.1046/j.1365-2508.1998.00167.x","DOIUrl":null,"url":null,"abstract":"<div>\n \n <section>\n \n <h3> Objective</h3>\n \n <p>To describe a unique case of laparoscopic myomectomy during pregnancy.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>A university-affiliated maternity hospital.</p>\n </section>\n \n <section>\n \n <h3> Subject</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Intervention</h3>\n \n <p>On laparoscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparoscopic myomectomy was successfully accomplished.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>No intra- or postoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>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.</p>\n </section>\n </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"105-107"},"PeriodicalIF":0.0000,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00167.x","citationCount":"2","resultStr":"{\"title\":\"Laparoscopic myomectomy during pregnancy\",\"authors\":\"Dov Luxman, Jacob R. Cohen, Menachem P. David\",\"doi\":\"10.1046/j.1365-2508.1998.00167.x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To describe a unique case of laparoscopic myomectomy during pregnancy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>A university-affiliated maternity hospital.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Subject</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Intervention</h3>\\n \\n <p>On laparoscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparoscopic myomectomy was successfully accomplished.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>No intra- or postoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>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.</p>\\n </section>\\n </div>\",\"PeriodicalId\":100599,\"journal\":{\"name\":\"Gynaecological Endoscopy\",\"volume\":\"7 2\",\"pages\":\"105-107\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2008-10-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00167.x\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Gynaecological Endoscopy\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1046/j.1365-2508.1998.00167.x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gynaecological Endoscopy","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1046/j.1365-2508.1998.00167.x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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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