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. 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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Colon cancer is also known as colorectal cancer, a term that combines colon cancer with rectal cancer, which starts in the rectum. The following are some of the signs and symptoms of colon cancer:

  • A change in your bowel habits, such as diarrhoea or constipation, or a change in the consistency of your stool, that persists.
  • Blood in your stool or rectal bleeding.
  • Consistent stomach pain, such as cramps or gas.
  • Unexplained weight loss
  • Weakness or exhaustion.
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Q. What is colonoscopy and how does it help in treating colon cancer?

A colonoscopy is a procedure in which doctor examines the inside of your large intestine to seek for the cause of symptoms such as abdominal pain, rectal bleeding or changes in bowel habits.

 

To check the inside of the colon, doctor will insert a long, flexible tube with a camera on one end into the rectum. A particular diet may be required for 24-48 hours before to the surgery. In a process called as bowel prep, the colon will also need to be cleaned using strong laxatives.

 

If polyps are discovered in the colon, they will be removed by a surgeon and referred for biopsy. A pathologist examines the polyps under a microscope for malignant or precancerous cells during a biopsy.

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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.
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Q. What is incarcerated hernia?

A section of the intestine or abdominal tissue that becomes trapped in the sac of a hernia—the bulge of soft tissue that pushes through a weak place in the abdominal wall—is known as an incarcerated hernia. Stool may not be able to pass through the intestine if a section of it is trapped.

 

Incarcerated inguinal hernias usually cause swelling in the groin region, and some may show redness. If bowel obstruction has occurred, some additional symptoms may include sudden onset of pain, lack of appetite, irritability, and nausea or vomiting.

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