Laparoscopic removal of benign uterine and adnexal masses during pregnancy

Objective. To report three cases of laparoscopic treatment of benign uterine and adnexal masses during pregnancy and to discuss the feasibility of such procedures. Interventions. A pedunculated myoma, an ovarian teratoma and a luteal ovarian cyst were laparoscopically treated during pregnancy. The patients' pregnancies were at 8, 7 and 11 weeks of gestation, respectively. The procedure times were 72, 65 and 53 min, while the estimated blood losses were 60, 100 and 80 ml, respectively. No complications were observed and the pregnancies were completed with a vaginal delivery in the first two cases and with a Caesarean section in the third case. Conclusions. Laparoscopic management of gynaecological masses during pregnancy is still controversial. This report confirms that laparoscopy might be considered to be a safe, reliable and advantageous technique for the management of selected gynaecological pathologies during pregnancy.