Immune thrombocytopenic purpura during pregnancy: laparoscopic treatment.

B. V. Anglin, C. Rutherford, R. Ramus, M. Lieser, D. B. Jones

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

BACKGROUND AND OBJECTIVES: Laparoscopic surgical techniques in pregnancy have been accepted and pose minimal risks to the patient and fetus. We present the first reported case of a pregnant woman with immune thrombocytopenia purpura who underwent laparoscopic splenectomy during the second trimester. METHODS AND RESULTS: The anesthesia, hematology, and obstetrics services closely followed the patient's preoperative and intraoperative courses. After receiving immunization, stress close steroids, and prophylactic antibiotics, she underwent a successful laparoscopic splenectomy. After a short hospital stay, the patient was discharged home. CONCLUSION: Immune thrombocytopenia purpura can be an indication for splenectomy. As demonstrated in appendectomy, cholecystectomy, and our case presentation, laparoscopic splenectomy can be safely performed during pregnancy.

Original languageEnglish (US)
Pages (from-to)63-67
Number of pages5
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons / Society of Laparoendoscopic Surgeons
Volume5
Issue number1
StatePublished - Jan 1 2001

ASJC Scopus subject areas

  • Surgery

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