Cargando…
Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic
This paper reports a case of a 21 year old primigravida at 6 weeks gestation, suffering from important abdominal pain, who was admitted into the medical center with a giant cyst of 28 × 20 cm on her left ovary. A torsion of the ovarian cyst was suspected. Her COVID-19 status was unknown. In view of...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628878/ https://www.ncbi.nlm.nih.gov/pubmed/34842760 http://dx.doi.org/10.3390/medsci9040070 |
_version_ | 1784607087091777536 |
---|---|
author | Major, Attila Louis Jumaniyazov, Kudrat Yusupova, Shahnoza Jabbarov, Ruslan Saidmamatov, Olimjon Mayboroda-Major, Ivanna |
author_facet | Major, Attila Louis Jumaniyazov, Kudrat Yusupova, Shahnoza Jabbarov, Ruslan Saidmamatov, Olimjon Mayboroda-Major, Ivanna |
author_sort | Major, Attila Louis |
collection | PubMed |
description | This paper reports a case of a 21 year old primigravida at 6 weeks gestation, suffering from important abdominal pain, who was admitted into the medical center with a giant cyst of 28 × 20 cm on her left ovary. A torsion of the ovarian cyst was suspected. Her COVID-19 status was unknown. In view of the emergency of the situation and the COVID-19 pandemic, laparoscopy in spinal anesthesia was performed. The patient remained conscious during the surgical intervention and tolerated it well apart from a slight dyspnea, which was easily eliminated by changing her body position and decreasing the pneumoperitoneum pressure. The ovarian cyst was removed by enlarging the trocar incision. The patient recovered with neither incident nor pregnancy loss. COVID-19-related complications can induce adverse pregnancy outcomes. Under general anesthesia, patients with COVID-19 are at risk of severe pneumonia and of passing their infection to the medical personnel. To avoid such complications in non-specialized centers, laparoscopy should be performed in regional anesthesia. Laparoscopy in spinal anesthesia can be performed safely on pregnant patients by placing them in the proper position, using a low pneumoperitoneum, and monitoring the hemodynamics. During early pregnancy, general anesthesia induces a higher risk of teratogenic effects and of miscarriage. |
format | Online Article Text |
id | pubmed-8628878 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86288782021-11-30 Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic Major, Attila Louis Jumaniyazov, Kudrat Yusupova, Shahnoza Jabbarov, Ruslan Saidmamatov, Olimjon Mayboroda-Major, Ivanna Med Sci (Basel) Case Report This paper reports a case of a 21 year old primigravida at 6 weeks gestation, suffering from important abdominal pain, who was admitted into the medical center with a giant cyst of 28 × 20 cm on her left ovary. A torsion of the ovarian cyst was suspected. Her COVID-19 status was unknown. In view of the emergency of the situation and the COVID-19 pandemic, laparoscopy in spinal anesthesia was performed. The patient remained conscious during the surgical intervention and tolerated it well apart from a slight dyspnea, which was easily eliminated by changing her body position and decreasing the pneumoperitoneum pressure. The ovarian cyst was removed by enlarging the trocar incision. The patient recovered with neither incident nor pregnancy loss. COVID-19-related complications can induce adverse pregnancy outcomes. Under general anesthesia, patients with COVID-19 are at risk of severe pneumonia and of passing their infection to the medical personnel. To avoid such complications in non-specialized centers, laparoscopy should be performed in regional anesthesia. Laparoscopy in spinal anesthesia can be performed safely on pregnant patients by placing them in the proper position, using a low pneumoperitoneum, and monitoring the hemodynamics. During early pregnancy, general anesthesia induces a higher risk of teratogenic effects and of miscarriage. MDPI 2021-11-13 /pmc/articles/PMC8628878/ /pubmed/34842760 http://dx.doi.org/10.3390/medsci9040070 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Major, Attila Louis Jumaniyazov, Kudrat Yusupova, Shahnoza Jabbarov, Ruslan Saidmamatov, Olimjon Mayboroda-Major, Ivanna Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title | Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title_full | Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title_fullStr | Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title_full_unstemmed | Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title_short | Removal of a Giant Cyst of the Left Ovary from a Pregnant Woman in the First Trimester by Laparoscopic Surgery under Spinal Anesthesia during the COVID-19 Pandemic |
title_sort | removal of a giant cyst of the left ovary from a pregnant woman in the first trimester by laparoscopic surgery under spinal anesthesia during the covid-19 pandemic |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628878/ https://www.ncbi.nlm.nih.gov/pubmed/34842760 http://dx.doi.org/10.3390/medsci9040070 |
work_keys_str_mv | AT majorattilalouis removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic AT jumaniyazovkudrat removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic AT yusupovashahnoza removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic AT jabbarovruslan removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic AT saidmamatovolimjon removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic AT mayborodamajorivanna removalofagiantcystoftheleftovaryfromapregnantwomaninthefirsttrimesterbylaparoscopicsurgeryunderspinalanesthesiaduringthecovid19pandemic |