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Laparoscopy in pregnancy as safe as laparotomy. (Retrospective Chart Review).
DALLAS -- Laparoscopy increasingly is finding a role in the management of pelvic disease during pregnancy, Dr. James F. Carter reported at the annual meeting of the Society of Gynecologic Surgeons.
In a systematic, retrospective chart review of pregnant women undergoing laparotomy or laparoscopy between August 1993 and July 1998, those who had the laparoscopic procedures experienced less postoperative morbidity and remained in the hospital for shorter periods than did those who had laparotomy, said Dr. Carter of the Medical University of South Carolina, Charleston.
"The older thinking was that laparotomy is safer, but we have proven, and continue to prove, that in the appropriate skilled surgeon's hands laparoscopic surgery in pregnancy is safe, less painful, has just as good outcome, and gets the patients home much faster," Dr. Carter told this newspaper. "As we attempt to train more residents to be comfortable with laparoscopy, it will become more widely used, we hope."
In this study, seven patients had operative laparoscopic procedures. The average age of these patients was 27.1 years, and the mean gestational age at surgery was 13.6 weeks. The mean operating time was 122 minutes, and the mean hospital stay was 1.1 days.
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