Remorgida V, Carrer C, Ferraiolo A, Natucci M, Anserini P
Department of Obstetrics and Gynecology, University of Genoa, Padiglione 1--Ospedale San Martino, Italy.
Surg Endosc. 1995 Feb;9(2):195-6. doi: 10.1007/BF00191965.
A 32-year-old white lady suffering from tubal infertility was referred to our institution in November 1992 because of low abdominal pain due to a heterotopic pregnancy (one intrauterine sac and the other in the right tube). The patient had undergone, 8 weeks before, her second successful attempt at in vitro fertilization and embryo transfer. We decided to perform a laparoscopic salpingectomy. At inspection, the presence of tubo-ovarian adhesions was noted, secondary to the previous tubal microsurgical procedure, that were lysed by means of monopolar electrocoagulation. Salpingectomy was performed by combined bipolar cauterization and blunt-scissor dissection of the mesosalpinx. No uterine contractions were noted after surgery and the patients were discharged the next day. The rest of the pregnancy was uneventful and the patient spontaneously delivered vaginally a healthy female newborn weighing 3,060 g (Apgar score = 9) on June 20, 1993, at 39 weeks of gestation. A review of the published literature on laparoscopic surgery in pregnancy is given.
一位32岁患有输卵管性不孕的白人女性，因异位妊娠（一个宫内孕囊，另一个在右侧输卵管）导致下腹部疼痛，于1992年11月转诊至我院。该患者在8周前刚刚第二次成功进行了体外受精和胚胎移植。我们决定进行腹腔镜输卵管切除术。检查时，发现存在输卵管卵巢粘连，这是先前输卵管显微外科手术的后遗症，通过单极电凝法予以松解。输卵管切除术通过双极电凝和输卵管系膜钝性剪刀分离联合进行。术后未观察到子宫收缩，患者于次日出院。妊娠的其余过程顺利，患者于1993年6月20日妊娠39周时经阴道自然分娩一名健康女婴，体重3060克（阿氏评分=9分）。本文对已发表的关于妊娠期腹腔镜手术的文献进行了综述。
