Document Detail


Adnexal Masses in Pregnancy: Fetomaternal Blood Flow Indices During Laparoscopic Surgery.
MedLine Citation:
PMID:  22560042     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
STUDY OBJECTIVE: To assess changes in uterine and umbilical arteries during laparoscopy in human pregnancy. DESIGN: Case series (Canadian Task Force classification III). SETTING: University tertiary care referral center for high-risk pregnancy and minimally invasive surgery. PATIENTS: Nine pregnant women who underwent first- and second-trimester laparoscopic surgery because of an adnexal mass. INTERVENTION: Laparoscopic cyst enucleation or annessiectomy. MEASUREMENTS AND MAIN RESULTS: No maternal complications and no miscarriages or adverse pregnancy outcome occurred. Mean (SD) gestational age at delivery was 39.1 (0.7) weeks, birth weight was 3390 (298) g, and Apgar score at 5 minutes was 9.6 (0.5). Mean uterine resistance index, umbilical artery pulsatility index, and fetal heart rate were measured using transvaginal ultrasonography at various times during surgery. Mean uterine resistance index and umbilical artery pulsatility index values remained constant during laparoscopy. Fetal heart rate was maintained in the normal range (120-160 bpm) but progressively decreased during the surgical procedure. CONCLUSION: In human pregnancy, laparoscopic techniques do not seem to modify uteroplacental perfusion evaluated using noninvasive ultrasonography.
Authors:
Massimo Candiani; Silvia Maddalena; Maurizio Barbieri; Stefano Izzo; Daniela Alberico; Stefania Ronzoni
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-5-3
Journal Detail:
Title:  Journal of minimally invasive gynecology     Volume:  -     ISSN:  1553-4669     ISO Abbreviation:  -     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-5-7     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101235322     Medline TA:  J Minim Invasive Gynecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 AAGL. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Obstetrics and Gynecology, IRCCS San Raffaele Hospital (Drs. Candiani and Maddalena), the Department of Obstetrics and Gynecology, DMSD San Paolo (Drs. Izzo and Ronzoni), and the Department of Obstetrics, Gynecology and Neonatology, Fondazione Ospedale Maggiore Policlinico, Mangiagalli and Regina Elena (Drs. Barbieri and Alberico), Milan, Italy.
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