Episode # 79 • 11 Mar 2025
Laparoscopy in Pregnancy: Key Considerations for Surgeons
What surgical techniques and safety measures are important to consider when operating in a pregnant patient? In this episode of the BackTable OBGYN podcast, Dr. Craig Sobolewski, a minimally invasive GYN surgeon at Duke, speaks with host Dr. Mark Hoffman about the intricacies of laparoscopic surgery in pregnant patients.
Timestamps
00:00 - Introduction
07:20 - Laparoscopy in Pregnant Patients
11:23 - Common Surgeries During Pregnancy
15:56 - Laparoscopic Surgery Techniques
24:04 - Physiologic Changes in Pregnancy
27:33 - Access Methods and Pressure Considerations
28:53 - Managing Torsion and Cysts in Pregnancy
30:21 - Energy Use and Safety in Pregnant Patients
31:38 - Preoperative and Postoperative Care
34:15 - Cerclage Procedures and Counseling
47:46 - Professional Reflections and Conclusions
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More about this episode
The surgeons delve into the critical importance of understanding anatomy and ensuring proper exposure during surgeries, particularly the challenges and techniques for operating during pregnancy. Key discussions include the use of liver retractors, the management of symptomatic ovarian cysts, and the methods for performing and evaluating abdominal cerclages. They also explore the physiological changes in pregnant patients and the adjustments needed for anesthesia, laparoscopic entry, pressures during surgery, and pre/post-operative care.
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