| Adnexal mass surgery and anesthesia during pregnancy: a 10-year retrospective review. | |
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MedLine Citation:
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PMID: 16798446 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Many studies have addressed the specific perinatal risks of surgery and anesthesia during pregnancy, but there is still much undetermined. The objective of this retrospective review was to compare the adverse pregnancy outcome in patients undergoing laparoscopy and laparotomy with inhalational or regional anesthesia for adnexal mass in pregnancy. METHOD: From the records, the case notes of patients who had had surgery for adnexal mass during pregnancy over 10 years in the Cheil General Hospital and Women's Health Center were reviewed. The type of surgery and anesthesia and the outcome were recorded. RESULTS: Of the 235 patients, general anesthesia was employed for laparotomy in 137 and for laparoscopic surgery in 27. Regional anesthesia for laparotomy was administered on 71 occasions. The incidence of preterm labor in the group given regional anesthesia (29.6%) was significantly higher than the groups given general anesthesia (5.8% in the laparotomy group, 0% in the laparoscopy group). The incidences of preterm labor and premature delivery in all surgical patients (preterm labor 12.3%, premature delivery 7.7%) were higher than among the non-surgical pregnant population over the same period (3.2%, 4.8%). CONCLUSION: Patients undergoing laparotomy with regional anesthesia for adnexal mass in pregnancy may have higher risk of preterm labor than those given general inhalational anesthesia for laparotomy or laparoscopy. Therefore, if regional anesthesia is used for this type of surgery, then precautions should be taken to reduce the risk of preterm labor. |
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Authors:
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J Y Hong |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: International journal of obstetric anesthesia Volume: 15 ISSN: 0959-289X ISO Abbreviation: Int J Obstet Anesth Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-06-26 Completed Date: 2006-12-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200430 Medline TA: Int J Obstet Anesth Country: Netherlands |
Other Details:
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Languages: eng Pagination: 212-6 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Cheil General Hospital and Women's Health Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jenyhongg@hanmail.net |
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Spontaneous
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epidemiology Adnexal Diseases / surgery* Adult Anesthesia, Conduction / adverse effects*, utilization Anesthesia, Inhalation / adverse effects*, utilization Female Humans Laparoscopy / adverse effects* Laparotomy / adverse effects* Obstetric Labor, Premature / epidemiology Pregnancy Pregnancy Complications / surgery* Pregnancy Outcome Retrospective Studies Stillbirth / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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