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 ovaria n cyst were laparoscopically treated during pregnancy. The patients' pregna ncies were at 8, 7 and 11 weeks of gestation, respectively. The procedure t imes were 72, 65 and 53 min, while the estimated blood losses were 60, 100 and 80 mi, respectively. No complications were observed and the pregnancies were completed with a vaginal delivery in the first two cases and with a C aesarean section in the third case. Conclusions Laparoscopic management of gynaecological masses during pregnan cy is still controversial. This report confirms that laparoscopy might be c onsidered to be a safe, reliable and advantageous technique for the managem ent of selected gynaecological pathologies during pregnancy.