the special considerations for laparoscopic surgery?
Once considered an absolute contraindication
during pregnancy, laparoscopic surgery is now commonly per-formed during
pregnancy. Outcome in those who have sur-gery laparoscopically and those who
undergo a traditional laparotomy is the same. Specific anesthetic
considerations during laparoscopy include maintaining normocarbia, because
carbon dioxide is commonly used to maintain a pneumoperitoneum. Surgical
concerns include caution during placement of the trochars, which can be
accom-plished as an open technique, and maintaining low pneu-moperitoneum
pressures (<15 mmHg) so that uterine perfusion is maintained.