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...

Full description

Bibliographic Details
Main Authors: Elizabeth A. Dilday, Regan L. Allen, Sarah A. Manning, Lisa Chao
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Case Reports in Women's Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214911220301132
id doaj-654ff42ad7f54c4e994dc52af776c8ee
record_format Article
spelling 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
_version_ 1724271973162287104