Abstract
Surgeons performing laparoscopy in pregnancy are developing specific practices to improve care of gravid women. In this case, a pregnant 26-year-old patient underwent laparoscopic ovarian cystectomy in the second trimester, with cyst wall removal through an 8 mm umbilical port site incision. She returned four days later with pain and drainage from the umbilicus, and examination under anesthesia revealed omental evisceration through the umbilical incision. The patient healed well following excision of affected omentum, reapproximation of fascia in a simple, interrupted fashion, and closure of skin in a subcuticular fashion. Due to increased intra-abdominal pressure associated with a gravid uterus and other factors, port site closure for incisions smaller than 10 mm may improve healing and prevent complications of laparoscopic surgery in pregnancy.
Original language | English (US) |
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Article number | e00283 |
Journal | Case Reports in Women's Health |
Volume | 29 |
DOIs | |
State | Published - Jan 2021 |
Keywords
- Adnexal mass
- Evisceration
- Laparoscopy
- Pregnancy
ASJC Scopus subject areas
- Obstetrics and Gynecology