Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report
Surgeons performing laparoscopy in pregnancy are developing specific practices to improve care of gravid women. In this case, a pregnant 26-year-old patient underwent laparoscopic ovarian cystectomy in the second trimester, with cyst wall removal through an 8 mm umbilical port site incision. She ret...
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2021-01-01
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doaj-654ff42ad7f54c4e994dc52af776c8ee2021-02-13T04:25:05ZengElsevierCase Reports in Women's Health2214-91122021-01-0129e00283Omental evisceration in a gravid woman following second-trimester laparoscopy: A case reportElizabeth A. Dilday0Regan L. Allen1Sarah A. Manning2Lisa Chao3Department of Obstetrics and Gynecology, Parkland Health and Hospital System, United States of America; University of Texas Southwestern Medical Center, Dallas, TX, United States of America; Corresponding author at: UCLA, Department of Obstetrics and Gynecology, David Geffen School of Medicine, 10833 Le Conte Avenue, 27-139 CHS, Los Angeles, CA 90095-1740, United States of America.Department of Obstetrics and Gynecology, Parkland Health and Hospital System, United States of America; University of Texas Southwestern Medical Center, Dallas, TX, United States of AmericaDepartment of Obstetrics and Gynecology, Parkland Health and Hospital System, United States of America; University of Texas Southwestern Medical Center, Dallas, TX, United States of AmericaDepartment of Obstetrics and Gynecology, Parkland Health and Hospital System, United States of America; University of Texas Southwestern Medical Center, Dallas, TX, United States of AmericaSurgeons performing laparoscopy in pregnancy are developing specific practices to improve care of gravid women. In this case, a pregnant 26-year-old patient underwent laparoscopic ovarian cystectomy in the second trimester, with cyst wall removal through an 8 mm umbilical port site incision. She returned four days later with pain and drainage from the umbilicus, and examination under anesthesia revealed omental evisceration through the umbilical incision. The patient healed well following excision of affected omentum, reapproximation of fascia in a simple, interrupted fashion, and closure of skin in a subcuticular fashion. Due to increased intra-abdominal pressure associated with a gravid uterus and other factors, port site closure for incisions smaller than 10 mm may improve healing and prevent complications of laparoscopic surgery in pregnancy.http://www.sciencedirect.com/science/article/pii/S2214911220301132Adnexal massEviscerationLaparoscopyPregnancy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Elizabeth A. Dilday Regan L. Allen Sarah A. Manning Lisa Chao |
spellingShingle |
Elizabeth A. Dilday Regan L. Allen Sarah A. Manning Lisa Chao Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report Case Reports in Women's Health Adnexal mass Evisceration Laparoscopy Pregnancy |
author_facet |
Elizabeth A. Dilday Regan L. Allen Sarah A. Manning Lisa Chao |
author_sort |
Elizabeth A. Dilday |
title |
Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report |
title_short |
Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report |
title_full |
Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report |
title_fullStr |
Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report |
title_full_unstemmed |
Omental evisceration in a gravid woman following second-trimester laparoscopy: A case report |
title_sort |
omental evisceration in a gravid woman following second-trimester laparoscopy: a case report |
publisher |
Elsevier |
series |
Case Reports in Women's Health |
issn |
2214-9112 |
publishDate |
2021-01-01 |
description |
Surgeons performing laparoscopy in pregnancy are developing specific practices to improve care of gravid women. In this case, a pregnant 26-year-old patient underwent laparoscopic ovarian cystectomy in the second trimester, with cyst wall removal through an 8 mm umbilical port site incision. She returned four days later with pain and drainage from the umbilicus, and examination under anesthesia revealed omental evisceration through the umbilical incision. The patient healed well following excision of affected omentum, reapproximation of fascia in a simple, interrupted fashion, and closure of skin in a subcuticular fashion. Due to increased intra-abdominal pressure associated with a gravid uterus and other factors, port site closure for incisions smaller than 10 mm may improve healing and prevent complications of laparoscopic surgery in pregnancy. |
topic |
Adnexal mass Evisceration Laparoscopy Pregnancy |
url |
http://www.sciencedirect.com/science/article/pii/S2214911220301132 |
work_keys_str_mv |
AT elizabethadilday omentaleviscerationinagravidwomanfollowingsecondtrimesterlaparoscopyacasereport AT reganlallen omentaleviscerationinagravidwomanfollowingsecondtrimesterlaparoscopyacasereport AT sarahamanning omentaleviscerationinagravidwomanfollowingsecondtrimesterlaparoscopyacasereport AT lisachao omentaleviscerationinagravidwomanfollowingsecondtrimesterlaparoscopyacasereport |
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