SAGES Web Quiz #11 -- March 1999
This quiz builds a better understanding of laparoscopy in the pregnant patient.


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Question 1: A popular OB/GYN asks you to consult on a patient. She is a 26 year-old G2P1Ab0 woman, 14 weeks gestation, with a 24 hour history of severe right lower quadrant pain. She has a temperature of 101.7F, notable right lower quadrant tenderness, and a white blood cell count of 14,000. You decide to take her to the operating room for a possible laparoscopic appendectomy. You appropriately enter the abdomen using an open technique and Hasson trocar, as shown. The maximum pneumoperitoneum that you should use is:

[] (a) 4mm Hg
[] (b) 12mm Hg
[] (c) 16mm Hg
[] (d) 20mm Hg
[] (e) Don't Know

Question 2: A G3P2AbO patient presents with symptoms of biliary colic at 8 weeks gestation. You are able to medically manage her symptoms until the second trimester. At this time, her symptoms become irretractable and you decide to perform a laparoscopic cholecystectomy. All of the following precautions are recommended to minimize risk to the mother and fetus except:

[] (a) The uterus is protected with a lead shield.
[] (b) Pneumatic compression stockings are utilized.
[] (c) The patient is placed in a flat position during the procedure.
[] (d) Fluoroscopy is used selectively.
[] (e) Don't Know


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