Our Summary

This research paper discusses the safety and benefits of using laparoscopy, a minimally invasive surgical procedure, for abdominal surgeries that are not related to childbirth but are necessary during pregnancy. The paper supports the idea that laparoscopy is safe for pregnant women, as long as certain guidelines are adhered to. The article also covers the effects of surgery on pregnancy, how a mother’s body functions, considerations for the fetus, the impact of maternal obesity, a specific procedure called laparoscopic cerclage, the presence of a large abnormal growth near the uterus, and potential complications. It also provides a review of guidelines for this type of surgery.

FAQs

  1. Is it safe to perform minimally invasive surgery during pregnancy?
  2. What are the benefits of laparoscopy in pregnancy and what guidelines should be followed?
  3. What are the considerations for maternal physiology, fetal health, and maternal obesity in minimally invasive surgery during pregnancy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is that it typically results in smaller incisions, less pain, faster recovery times, and reduced risk of complications compared to traditional open surgery. It is important to discuss the benefits and risks of minimally invasive surgery with your doctor to determine if it is the best option for your specific case.

Suitable For

Patients who are typically recommended for minimally invasive surgery include those who are pregnant, have certain medical conditions that make traditional surgery riskier, have a lower risk for complications, or have smaller and less complex surgical needs.

Some examples of patients who may be recommended for minimally invasive surgery include:

  • Pregnant women requiring nonobstetrical abdominal surgery
  • Patients with chronic medical conditions such as heart disease, lung disease, or diabetes
  • Patients with a lower risk for complications due to their overall health status
  • Patients with smaller and less complex surgical needs, such as gallbladder removal or hernia repair

Ultimately, the decision to recommend minimally invasive surgery will depend on the individual patient’s specific medical condition, overall health status, and surgical needs. It is important for patients to discuss their options with their healthcare provider to determine the best course of treatment for their unique situation.

Timeline

Before minimally invasive surgery:

  • Patient consults with surgeon to discuss the need for surgery and potential risks
  • Pre-operative testing and evaluations are conducted to ensure the patient is a suitable candidate for minimally invasive surgery
  • Patient receives instructions on pre-operative preparations, such as fasting and medication management
  • Surgery date is scheduled and patient is briefed on what to expect during and after the procedure

After minimally invasive surgery:

  • Patient undergoes the minimally invasive procedure, which typically involves smaller incisions and shorter recovery time compared to traditional open surgery
  • Patient is closely monitored in the recovery room for any immediate post-operative complications
  • Patient may experience some discomfort or pain at the incision sites, but this is typically managed with pain medication
  • Patient is discharged home with instructions on post-operative care and follow-up appointments with the surgeon
  • Patient typically experiences a quicker recovery and return to normal activities compared to traditional open surgery.

What to Ask Your Doctor

  1. Is minimally invasive surgery safe for me and my baby during pregnancy?
  2. What are the potential risks and benefits of minimally invasive surgery compared to traditional surgery?
  3. How will the surgery affect my pregnancy and delivery?
  4. What is the recovery time and potential complications associated with minimally invasive surgery?
  5. Are there any specific guidelines or precautions that need to be taken for minimally invasive surgery during pregnancy?
  6. Will anesthesia have any effects on my baby?
  7. How often do you perform minimally invasive surgeries on pregnant patients?
  8. Are there any specific considerations for my specific condition or situation?
  9. What are the success rates of minimally invasive surgery for my condition during pregnancy?
  10. Are there any alternative treatment options that I should consider before undergoing minimally invasive surgery?

Reference

Authors: Chohan L, Nijjar JB. Journal: Clin Obstet Gynecol. 2020 Jun;63(2):379-391. doi: 10.1097/GRF.0000000000000527. PMID: 32195684