Q2. What contributions have the authors mentioned in the paper "Gasless laparoscopic surgery during pregnancy: evaluation of its role and usefulness" ?
This article reviews the evidence available for the role and effectiveness of GLS in pregnancy.
Q3. What are the common indications for surgical procedures in pregnancy?
General surgical procedures are required in approximately 1 in 635 pregnancies, acute appendicitis and symptomatic biliary disease being the most common indications [1].
Q4. Why is the use of abdominal wall-lifting devices considered in the pregnant patient?
The use of abdominal wall-lifting devices in the pregnant patient might be considered because both hypercarbia and increased intraperitoneal pressure are avoided with less significant hemodynamic and respiratory maternal effects [6,18].
Q5. What is the common type of cholecystectomy?
It is suggested that the addition of a J-shaped lifting arm permits an exposure into the right upper quadrant essentially equivalent to pneumoperitoneum, allowing a safe cholecystectomy to be undertaken [11].
Q6. What is the incidence of adnexal masses during pregnancy?
Most adnexal masses discovered during the first trimester of pregnancy are functional ovarian cysts that resolve spontaneously by the second trimester.
Q7. What is the main advantage of laparoscopy during pregnancy?
One of the main advantages is in uterine repair because applying the conventional curved needle deeply into the myometrium with a laparotomy needle holder is easier and faster.
Q8. What databases were used to find the first report of GLS in pregnancy?
A computerized literature search was conducted on Medline, Science Citation Index, Current Contents, Embase, and PubMed databases for English language publications from the first report of GLS in pregnancy in 1995 to June 2012.
Q9. How many symptomatic patients do not respond to conservative medical management?
Gallstones are present in 12% of all pregnancies, and more than one-third of the symptomatic patients do not respond to conservative medical management [29].
Q10. What are the main reasons for the use of gasless laparoscopic surgery?
In an attempt to overcome the adverse effects of pneumoperitoneum, many techniques have been developed to lift the abdominal wall without gas.
Q11. What is the way to treat a myoma during pregnancy?
It is recommended that a laparoscopic myomectomy can be considered a minimally invasive alternative to traditional laparotomy for selected patients when myomectomy during pregnancy is unavoidable [26].
Q12. What are the common complications of pregnancy?
http://dx.doi.org/10.1016/j.ejogrb.2013.04.012surgery during pregnancy, ovarian cysts, adnexal masses or torsions are the most frequent.
Q13. What was the recent retrospective review of laparoscopic and open cholecys?
A recent retrospective review of both laparoscopic and open procedures performed on pregnant women showed that CO2 laparoscopic cholecystectomy was as safe and efficacious as its respective open procedure [4].
Q14. What is the role of gasless laparoscopic surgery in pregnancy?
In an attempt to overcome the potential adverse effects of pneumoperitoneum on the fetus, gasless laparoscopic surgery (GLS) has been developed.
Q15. What is the main advantage of laparoscopic myomectomy?
It is therefore important to avoid the use of monopolar and bipolar electrosurgery in the myoma resection, as occurred in the only case of gasless laparoscopic myomectomy during pregnancy reported in the literature [27].
Q16. What are the benefits of gasless laparoscopy?
Some data suggest that clinical outcomes of gasless laparoscopy are equivalent to those of conventional laparoscopic techniques, while providing improved safety.
Q17. What is the advantage of using subcutaneous lift systems?
In particular, the use of subcutaneous lift systems [35] is recommended because they show several advantages over the full-thickness wall lift devices [36].