Abstract
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.
| Original language | English |
|---|---|
| Pages (from-to) | 443-447 |
| Number of pages | 5 |
| Journal | Journal of Minimally Invasive Gynecology |
| Volume | 19 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 2012 |
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Keywords
- Adnexal mass
- Fetomaternal doppler velocimetry
- Laparoscopy
- Pregnancy
ASJC Scopus subject areas
- Obstetrics and Gynaecology
Cite this
Adnexal Masses in Pregnancy : Fetomaternal Blood Flow Indices During Laparoscopic Surgery. / Candiani, Massimo; Maddalena, Silvia; Barbieri, Maurizio; Izzo, Stefano; Alberico, Daniela; Ronzoni, Stefania.
In: Journal of Minimally Invasive Gynecology, Vol. 19, No. 4, 07.2012, p. 443-447.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Adnexal Masses in Pregnancy
T2 - Fetomaternal Blood Flow Indices During Laparoscopic Surgery
AU - Candiani, Massimo
AU - Maddalena, Silvia
AU - Barbieri, Maurizio
AU - Izzo, Stefano
AU - Alberico, Daniela
AU - Ronzoni, Stefania
PY - 2012/7
Y1 - 2012/7
N2 - 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.
AB - 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.
KW - Adnexal mass
KW - Fetomaternal doppler velocimetry
KW - Laparoscopy
KW - Pregnancy
UR - http://www.scopus.com/inward/record.url?scp=84862984146&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84862984146&partnerID=8YFLogxK
U2 - 10.1016/j.jmig.2012.03.008
DO - 10.1016/j.jmig.2012.03.008
M3 - Article
C2 - 22560042
AN - SCOPUS:84862984146
VL - 19
SP - 443
EP - 447
JO - Journal of Minimally Invasive Gynecology
JF - Journal of Minimally Invasive Gynecology
SN - 1553-4650
IS - 4
ER -