چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| فاطمه طباطبایی | اول |
| عنوان | متن |
|---|---|
| خلاصه مقاله | Background: Majority of adnexal masses are incidental findings during pregnancy and resolve spontaneously. They may complicate pregnancy due to hemorrhage, cyst rupture and ovarian torsion. Laparoscopy is preferred surgical intervention owing to shorter operative time, quicker recovery and lower post-operative pain. However, safety and feasibility of laparoscopic surgery in the management of ovarian cysts in pregnant women is challenging specially at advance gestational ages and urgent situations. Methods: This is a cross-sectional study which was conducted at department of gynecologic laparoscopic surgeries, Talegani Hospital, Tabriz, Iran. A total of 28 cases of laparoscopic surgery in second trimester of pregnancy were evaluated. Results: The operations were ended in all patients successfully. The mean operation time was 45 minutes. There were no fetal maternal complications. All pregnancies had been terminated after 36 weeks of gestation. Three patients had been undergone oophorectomy as well as the cases in need of blood transfusion. Ovarian torsion was the most common reason for emergency surgery and mature teratoma was the most common reported pathology. Tocolytic therapy was required in three patients and all of patients had been prescribed 50 mg injectable progesterone twice daily for 10 days after surgery. The mean intra-abdominal pressure was equal to 15 mmHg and mean end-expiratory carbon dioxide (CO2) pressure was 39 mmHg. There was no conversion to laparotomy and the mean length of hospitalization was two days. Intravenous paracetamol had been used to relieve postoperative pain. Conclusion: Most of ovarian cysts can be managed laparoscopically with ensured safety and lower morbidity. |
| کلمات کلیدی | Laparoscopy, Cystectomy, Pregnancy, Ovarian Cyst, |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 1401.pdf | 1401/03/28 | 113071 | دانلود |
| certificate 3.png | 1401/03/28 | 208202 | دانلود |
| abstract.docx | 1401/03/28 | 13515 | دانلود |
