Non-Obstetric Surgery During Pregnancy: A Comprehensive Guide

Description

As minimally invasive surgical techniques evolve, the outlook for patients continues to brighten. This is also true for pregnant women experiencing conditions requiring surgical intervention during gestation. A physician’s ability to identify potential risk factors in pregnant patients that present pre-op directly corresponds with their success in monitoring patients in post-op for adverse obstetric outcomes from non-obstetric surgeries. The utilization of laparoscopic techniques during surgery for pregnant patients has decreased the risk of fetal complications and increased the positive outlook for the duration of the pregnancy. This text is designed to present a minimally invasive approach to surgery that is non-obstetrics related and to educate readers on the potential risk factors and negative outcomes on pregnant patients following non-obstetric surgery. The various sections of this book will address issues faced by surgeons who undertake the task of operating on the pregnant patient. When performing non-obstetric surgery on a pregnant patient the ability to identify possible risk factors for adverse obstetric outcomes is important. Risk factors can be maternal-, surgical-, obstetrical-, or disease-associated. Common adverse obstetric outcomes following non-obstetric surgery include preterm delivery, preterm labor without preterm delivery, and miscarriage. Fetal well-being is an additional risk-benefit factor to be considered when weighing options before conducting non-obstetric surgeries on pregnant patients. This book will provide physicians with the knowledge and tools to identify common risk factors and successfully apply evidence-based risk reduction. To date, no comprehensive resource is available for non-obstetric surgery during pregnancy. Types of pregnancies, potential complications, proper use of anesthesia, types of risk factors (maternal-, surgical-, obstetrical-, and disease-associated), etc. will be thoroughly explained and depicted within these pages. All chapters will be written by subject matter experts in their fields. All information communicated will be comprised of the most currently available knowledge Front Matter ....Pages i-xxix Front Matter ....Pages 1-1 The History of Non-obstetric Endoscopic Surgery During Pregnancy (Megan Kennedy Burns, Stacy Young, Camran Nezhat)....Pages 3-23 Neurological Pathway of Non-obstetric Pain During Pregnancy (Michal Rosen Shaubi, Laura Cancelliere, Corey Sermer, Adrienne L. K. Li, Nucelio L. B. M. Lemos)....Pages 25-37 Non-obstetric Imaging in Pregnant Women (Sudheer Balakrishnan)....Pages 39-50 Instrumentation for Non-obstetric Surgery During Pregnancy (Ali Amiri, Ashley N. Bartalot, Ceana H. Nezhat)....Pages 51-69 Operating Room Setup and Patient Positioning for Non-obstetric Surgery During Pregnancy (Vicki Barnett, Ashley N. Bartalot, Ceana H. Nezhat)....Pages 71-83 Pneumoperitoneum for Laparoscopic Surgery During Pregnancy (Douglas E. Ott)....Pages 85-97 Anesthetic Considerations for the Gravid Patient for Non-obstetric Surgery (Laura E. Gilbertson, Milad Sharifpour, Grant C. Lynde)....Pages 99-108 Medical Complications in Pregnancy (Michael Franklin Neblett II, Shabnam Gupta, Iris Krishna)....Pages 109-117 Front Matter ....Pages 119-119 Trauma and Surgical Management During Pregnancy (Morgan Schellenberg, Travis M. Polk)....Pages 121-133 Acute Appendicitis During Pregnancy (Hakan Orbay, Christine M. Kariya, Stephen M. Kavic)....Pages 135-146 Cholelithiasis, Cholecystitis, and Cholecystodochotomy During Pregnancy (Raymond J. Lanzafame)....Pages 147-154 Upper and Lower Endoscopy for Gastrointestinal (GI) Bleeding in Pregnancy (Atoosa Rabiee, Baharak Moshiree)....Pages 155-164 Small Bowel Obstruction and Volvulus During Pregnancy (James M. Bardes, Daniel Grabo)....Pages 165-172 Surgical Management of Inflammatory Bowel Disease in Pregnancy (Wayne L. Ambroze Jr, Bradley Paul Champagne)....Pages 173-181 Colorectal Cancer in Pregnancy (Cici Zhang, Marion Schertzer)....Pages 183-195 Hernia Complications During Pregnancy (Ivy N. Haskins, Michael J. Rosen)....Pages 197-200 Breast Surgery in the Pregnant Patient (Meredith Redden, Natalie Kessler, Amelia Donlan)....Pages 201-207 Front Matter ....Pages 209-209 Neurosurgery During Pregnancy (Nicholas S. Szuflita, Jason H. Boulter, Jonathan E. Gilhooly, Chris J. Neal)....Pages 211-224 Ophthalmology Surgery During Pregnancy (Michael S. Jacobson)....Pages 225-236 Oral and Maxillofacial Surgery for the Pregnant Patient (Pooyan Sadr-Eshkevari, Roger A. Meyer, Behnam Bohluli, Shahrokh C. Bagheri)....Pages 237-252 Urologic Surgery During Pregnancy (Nancy N. Wang, Harcharan Gill)....Pages 253-264 Nonelective Orthopedic Procedures and Circumstances in Pregnant Patients (Annie Weber, Julie Yetso, Farshad Adib)....Pages 265-279 Front Matter ....Pages 281-281 Myomas and Pregnancy (Tracy Nicole Hadnott, William Parker)....Pages 283-292 Adnexal Mass in Pregnancy (Farr Nezhat, Pengfei Wang, Andrea Tinelli)....Pages 293-306 Ovarian Cancer in Pregnancy (Benedict B. Benigno)....Pages 307-313 Ectopic and Heterotopic Pregnancies (Mehmet Cihat Unlu, Gazi Yildirim)....Pages 315-331 Front Matter ....Pages 333-333 Molar Pregnancy (Meaghan E. Tenney)....Pages 335-354 Transabdominal Cervical Cerclage (Sabahattin Anıl Arı, Ali Akdemir, Fatih Sendag)....Pages 355-360 Congenital Uterine Anomalies in Pregnancy (Angela L. Du, Joseph S. Sanfilippo)....Pages 361-370 Uterine Incarceration During Pregnancy (Tracey H. DeYoung, Laura Marie Fluke, Joy A. Greer)....Pages 371-380 Spontaneous Uterine Rupture During Pregnancy (Andrea Tinelli, Ospan A. Mynbaev, Michael Stark, Radmila Sparic, Sasa Kadija, Sandro Gerli et al.)....Pages 381-400 In Utero Surgery for Spina Bifida Aperta (Jan Deprest, Roland Devlieger, Frank Van Calenbergh, Sarah Devroe, Hannes Van der Merwe, Liesbeth Lewi et al.)....Pages 401-411 Laser Treatment of Twin-Twin Transfusion Syndrome (Rubén A. Quintero, Eftichia V. Kontopoulos, Ramen H. Chmait)....Pages 413-424 Back Matter ....Pages 425-439