What are 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.