Laparoscopic Non-Obstetric Surgery During Pregnancy
Details of the Patient
- Patient’s Name: Anonymous
- Patient’s Age: 26
- Patient’s Gender: female
Symptoms shown by the Patient
An Overview of the Case
Surgeon: Dr. Samrat Jankar & Dr. Shraddha Galgali
Anesthesiologist: Dr. Dhananjay Sanjekar
A 26-year female presented with 17th week of gestation complained of intermittent abdominal pain. It was diagnosed as a 12X8 cm left-sided heterogenous ovarian cyst, matured dermoid tumour on imaging. Considering a large symptomatic cyst and risk of rupture during pregnancy, the patient was taken for laparoscopic surgery with consent for open conversion and risk of abortion.
With all standard surgical and anaesthesia precautions, Dr Samrat Jankar and the team could complete Salphingo-oophorectomy surgery laparoscopically without any adverse events. The postoperative specimen and fluid sent for cytology were negative. Further, lavage cytology was done, which was also negative for malignancy.
Operative time: 90 min
Blood loss: 30 ml
Hospital stay: 48 hours
Challenges for Laparoscopic Surgery in this Case:
- Gravid uterus till infraumbilical position (less space for manipulation).
- Large cyst (benign or malignant) need to remove entirely without spillage.
- Surgical time has to be as short as possible.
Dr. Samrat Jankar said, “This was the first laparoscopic non-obstetric surgery during pregnancy at SUHRC and also a first-time experience for us. This was possible only because of good teamwork.”
Treatment Provided to the Patient
Medical Tests Performed
- Pre and postoperative FHS monitoring
- Intraoperative ETCO2 monitoring
- Early postoperative mobilization
Guidelines Provided after Treatment
Feedback from the Patient
Relevant Questions
Q. Can i know about bariatric surgery and the criteria on meeting which i will qualify for this surgery?
To be eligible for bariatric surgery, you must meet the following requirements:
- Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40.
- An obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
- Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate. If you need to lose weight to meet this requirement, a nutritionist is available to help.
Q. If i want to reduce weight, then what all options do i have, surgically or otherwise?
Each weight loss surgery option presents unique risks and benefits, so it’s important to compare them. There are many surgical options out there, like Bariatric surgery, gastric bypass surgery, Sleeve gastrectomy etc. For further details, you can visit our clinic or book an appointment @+917904139064.
Q. My brother has sleep apnea most probably due to his obesity, how can that be treated?
For milder cases of obstructive sleep apnea, we recommend some lifestyle changes. Such as,
- Lose weight if you’re overweight.
- Exercise regularly.
- Use a nasal decongestant or allergy medications.
- Don’t sleep on your back.
- Avoid taking sedative medications such as anti-anxiety drugs or sleeping pills.
Q. My grandfather was diagnosed with GERD, how can he be treated?
GERD is a digestive disorder that affects the ring of muscle between your oesophagus & your stomach. This can usually be controlled with medication. If you wish to avoid long-term medication then we recommend: Fundoplication. Plan a consultation with Dr Samrat Jankar, our expert gastroenterologist. He will provide the best possible & effective treatment for this.
Q. How does non-vegetarian food cause acidity?
Yes, non-vegetarian food causes acidity or may lead to acid peptic disease. If you are experiencing so, then take less spicy and less oily food. You can have chicken and eggs but should avoid them being cooked in a fried oily manner.
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