Before/After Image

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

  • Intermittent abdominal pain

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:

  1. Gravid uterus till infraumbilical position (less space for manipulation).
  2. Large cyst (benign or malignant) need to remove entirely without spillage.
  3. 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

  • Left Salphingo-oophorectomy

Medical Tests Performed

  • Pre and postoperative FHS monitoring
  • Intraoperative ETCO2 monitoring
  • Early postoperative mobilization

Guidelines Provided after Treatment

The patient was advised to strictly adhere to the postoperative guidelines to avoid adverse side effects, and follow-up was recommended.

Feedback from the Patient

The patient was happy with her treatment.

Relevant Questions

Q. Hii I am an 18 year old male. I had an endoscopy 2 months ago which showed H.Pylori gastritis. My doc has prescribed me esomeprazole, antacids and rebamipide for 15 days. Is there any particular way I have to take these meds? Any possible interaction between the antacid and rebamipide?? My doc has not instructed me properly.

  • Esoprazole should be taken before eating. 
  • Antacids should be taken after a meal.
  • Rebamipide must be taken after eating.

 

You must use the HP kit for at least 15 days if you have H pylori gastritis. Further diagnosis needs to be done by Gastroenterologist for the analysis of gastrointestinal issues

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