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Case Reports
. 2022 Jul 14:2022:2802767.
doi: 10.1155/2022/2802767. eCollection 2022.

Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique

Luke William Nelson  1 , Elliot MacKenzie  1
Affiliations
Case Reports

Paratubal Cystectomy in a Pregnant Woman Using the Single-Incision Laparoscopic Surgery (SILS) Technique

Luke William Nelson et al. Case Rep Obstet Gynecol. .

Abstract

Introduction: The proliferation of prenatal ultrasound has enhanced the detection of adnexal masses during pregnancy. The presentation necessitates a clear approach to investigation and treatment that balances both maternal and fetal risk. Laparoscopy is a safe approach to surgical management in the pregnant patient, and SILS may contribute to minimising perioperative complications. Case Presentation. We present the case of a 21-year-old female in her second trimester of pregnancy presenting with a large 20 cm right adnexal cyst. We proceeded with laparoscopic cystectomy via the SILS technique. There were no intraoperative complications, and she recovered well postoperatively.

Conclusion: Laparoscopic resection of adnexal lesions is safe during pregnancy and should be favoured over the open approach. SILS minimises incision sites and has potential for reduction in perioperative morbidity.

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Conflict of interest statement

There are no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Transverse ultrasound view of the right adnexa, demonstrating the cyst. Note its homogenous echotexture.
Figure 2
Figure 2
Sagittal view (MRI) of the right adnexal cyst. Note its simple appearance.
Figure 3
Figure 3
The partially dissected right adnexal cyst.
Figure 4
Figure 4
The right adnexa following complete excision of the cyst. Note the normal right ovary and gravid uterus.
See this image and copyright information in PMC

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