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Cœlioscopie pour Pathologie Annexielle au cours de la Grossesse et Pronostic Materno-Foetal: Expérience de l’Hôpital Militaire de Libreville
| Content Provider | Semantic Scholar |
|---|---|
| Author | Tchantchou, Tdd Ngou, J. P. Ngou Mve Ntamack, Jacques Albert Bang Olé, Boniface Sima Mpiga, Édith Minko, Julienne Isabelle Salami, A. Ondo, Mc Mbang Okoue, R. Nkili, Ghislain Edjo Pither, Serge |
| Copyright Year | 2019 |
| Abstract | RESUME But. Decrire les aspects cliniques, therapeutiques ainsi que le devenir maternel et fœtal des patientes porteuses d’une grossesse intra uterine evolutive au cours de laquelle elles ont beneficie d’une coeliochirurgie. Methodologie. Il s’agit d’une serie de cas prospective, longitudinale et descriptive deroulee sur une periode de 13 ans, allant de 2006 a 2019 au service de gynecologie obstetrique de l’Hopital Militaire de Libreville. Nous avons inclus toutes les patientes porteuses d’une grossesse intra uterine evolutive ayant beneficie d’une coeliochirurgie. Les parametres pre, per, post operatoires ainsi que le devenir de la grossesse ont ete analyses. Resultats. Treize gestantes ont ete etudiees. Leur âge moyen etait de 29 ans. La chirurgie a ete realisee en urgence, au premier trimestre de la grossesse chez 9 patientes (69,2%). L’aiguille de Palmer et le trocart camera etaient introduits en sus ombilical chez 9 (69,2%). Le pneumoperitoine etait realise avec l’aiguille de Palmer chez 10 patientes. A l’exploration, les lesions etaient localisees a droite chez 9 (69,2%) gestantes et a gauche chez 4 (30,8%). Nous avons retrouve trois kystes ovariens persistant apres 16 semaines d’amenorrhee (SA), sept cas de torsion de kyste de l’ovaire dont un cas de torsion d’annexe a 23 SA, un kyste para tubaire et une grossesse heterotopique. Comme geste chirurgical, nous avons realise trois detorsions, quatre kystectomies, une annexectomie et une salpingectomie. Nous n’avons enregistre aucune complication per ou post operatoire. Douze patientes ont accouche par voie basse. Tous les nouveau-nes ont eu une bonne adaptation a la vie extra uterine. Conclusion. La cœlioscopie permet de prendre en charge les pathologies associees a la grossesse sans augmentation de la morbidite maternofœtale. ABSTRACT Aim To describe the clinical, therapeutic aspects, maternal and fetal outcomes, of patients with active intrauterine pregnancy during which they underwent laparoscopic surgery. Material and methods. This was a prospective, longitudinal and descriptive series of cases conducted over a period of 13 years, ranging from 2006 to 2019 at the Obstetrics and Gynecology Department of the Military Hospital of Libreville. We included all patients with active intrauterine pregnancy who underwent laparoscopic surgery. The pre, per, postoperative parameters and the outcome of the pregnancy were analyzed. Results. We studied 13 cases. The average age of pregnant women was 29 years. An emergent surgery was performed in the first trimester of pregnancy in nine patients (69.2%). The Palmer needle and the camera trocar were introduced in umbilical in 9 (69.2%) patients. Pneumoperitoneum was achieved with the Palmer needle in 10 patients. On exploration, the lesions were right-sided in 9 cases (69.2%) and left sided in 4 (30.8%). We found three ovarian cysts persisting after 16 weeks, seven cases of ovarian cyst torsion including, one case of twisting of appendix at 23 weeks, a para tubal cyst and a heterotopic pregnancy. Concerning surgical procedures, we performed three detorsions, four cystectomies, an adnexectomy and a salpingectomy. No per or postoperative complication was recorded. Twelve patients gave birth vaginally. All newborns had a good adaptation to extra uterine life. Conclusion. Laparoscopy can be used to manage pathologies associated with pregnancy without increasing maternofetal morbidity. |
| File Format | PDF HTM / HTML |
| Volume Number | 20 |
| Alternate Webpage(s) | https://www.hsd-fmsb.org/index.php/hsd/article/download/1663/pdf_810 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
