TU-LESS procedure for acute abdomen in late pregnancy: a retrospective study

作者全名："Peng, Shumin; Deng, Chao; Chen, Jun; Liu, Zhaoming; Cui, Jingen; Liu, Shikai; Hu, Bin; Chen, Gongli"

作者地址："[Peng, Shumin; Chen, Jun; Liu, Zhaoming; Cui, Jingen; Chen, Gongli] Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, Chongqing, Peoples R China; [Deng, Chao] Junlian Cty Peoples Hosp, Dept Obstet & Gynecol, Sichuan, Peoples R China; [Liu, Shikai] Cangzhou Cent Hosp, Dept Obstet & Gynaecol, Cangzhou, Hebei, Peoples R China; [Hu, Bin] Zhengzhou Univ, Dept Gynecol, Affiliated Hosp 2, Henan, Peoples R China"

通信作者："Chen, GL (通讯作者)，Chongqing Med Univ, Dept Obstet & Gynecol, Women & Childrens Hosp, Chongqing, Peoples R China.; Liu, SK (通讯作者)，Cangzhou Cent Hosp, Dept Obstet & Gynaecol, Cangzhou, Hebei, Peoples R China.; Hu, B (通讯作者)，Zhengzhou Univ, Dept Gynecol, Affiliated Hosp 2, Henan, Peoples R China."

来源：ARCHIVES OF GYNECOLOGY AND OBSTETRICS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001247192400003

JCR分区：Q2

影响因子：2.6

年份：2024

卷号：310

期号：2

开始页：713

结束页：718

文献类型：Article

关键词：Acute abdomen in pregnancy (AAP); Transumbilical laparoscopic single point surgery (TU-LESS); The third trimester; Safety

摘要："BackgroundAcute abdominal conditions during pregnancy are significant risks to maternal and fetal health, necessitating timely diagnosis and intervention. The choice of surgical approach is a major concern for obstetricians.ObjectiveTo evaluate the safety and efficacy of the TU-LESS procedure for acute abdomen in late pregnancy.MethodsWe retrospectively analyzed 12 patients who underwent TU-LESS for acute abdominal conditions in the third trimester from 2020 to 2023. We reviewed medical records for clinical characteristics, surgical interventions, postoperative complications, and pregnancy outcomes.ResultsThe study included patients with a median age of 27 (range 20-35) and a BMI of 24.33 kg/m2 (range 21.34-31.96). The median gestational age at surgery was 30 weeks (range, 28 + 3-32 + 4 weeks), with surgeries lasting an average of 60 min (range, 30-163 min). Blood loss was 2-20 mL, and the median hospital stay post-surgery was 6 days (range, 2-16 days). There were no significant complications. The median time to delivery after TU-LESS was 56 days (range, 26-66 days), resulting in 8 full-term deliveries, 2 preterm cesareans, and 2 preterm vaginal deliveries. All newborns were healthy, with no fetal losses or neonatal deaths.ConclusionTU-LESS, performed by experienced obstetricians and gynecologists with proper preoperative preparation, is safe and effective for managing acute abdomen in late pregnancy, without the need to delay surgery due to gestational age."

基金机构：Special Key Project for Technological Innovation and Application Development in Chongqing Province [CSTB2022TIAD-KPX0171]

基金资助正文：This work was supported by the Special Key Project for Technological Innovation and Application Development in Chongqing Province CSTB2022TIAD-KPX0171.