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Minimally Invasive Approaches to Colon and Rectal Disease pp 373–379Cite as

Laparoscopy in Pregnant Patients

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Abstract

The need for abdominal surgery in the pregnant patient is not uncommon. The indication for non-obstetrical surgery during pregnancy should be approached in a similar fashion to the nonpregnant patient. While laparotomy has traditionally been used to address surgical disorders of the peritoneal cavity, the use of laparoscopy is a safe approach with many advantages and should be utilized, when appropriate. An understanding of the physiologic changes that occur during pregnancy is important to the operating surgeon, and anatomic alterations within the abdominal cavity will affect port placement. Proper patient positioning and fetal monitoring are also important in helping to prevent fetal loss during surgery. This chapter will discuss the use of laparoscopy in the pregnant patient with surgical disorders affecting the colon and rectum.

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA

    Melissa M. Alvarez-Downing M.D. & David J. Maron M.D., M.B.A.

Authors
  1. Melissa M. Alvarez-Downing M.D.
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  2. David J. Maron M.D., M.B.A.
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Corresponding author

Correspondence to David J. Maron M.D., M.B.A. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Near obstructing colon cancer in a pregnant patient. This patient underwent an open anterior resection with end colostomy. The video demonstrates some of the potential difficulties encountered in the pregnant patient. Video by Amir Bastawrous, MD (MP4 95188 kb)

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Alvarez-Downing, M.M., Maron, D.J. (2015). Laparoscopy in Pregnant Patients. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_33

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_33

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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