BackTable / OBGYN / Podcast / Episode #79

Laparoscopy in Pregnancy: Key Considerations for Surgeons

with Dr. Craig Sobolewski

What surgical techniques and safety measures are important to consider when operating in a pregnant patient? In this episode of the BackTable OBGYN podcast, Dr. Craig Sobolewski, a minimally invasive GYN surgeon at Duke, speaks with host Dr. Mark Hoffman about the intricacies of laparoscopic surgery in pregnant patients.

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Laparoscopy in Pregnancy: Key Considerations for Surgeons with Dr. Craig Sobolewski on the BackTable OBGYN Podcast)

Ep 79 Laparoscopy in Pregnancy: Key Considerations for Surgeons with Dr. Craig Sobolewski

00:00 / 01:04

BackTable, LLC (Producer). (2025, March 11). Ep. 79 – Laparoscopy in Pregnancy: Key Considerations for Surgeons [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Craig Sobolewski

Dr. Craig Sobolewski is a minimally invasive GYN surgeon at Duke University in Durham, North Carolina.

Dr. Mark Hoffman

Dr. Mark Hoffman is a minimally invasive gynecologic surgeon at the University of Kentucky.

Synopsis

The surgeons delve into the critical importance of understanding anatomy and ensuring proper exposure during surgeries, particularly the challenges and techniques for operating during pregnancy. Key discussions include the use of liver retractors, the management of symptomatic ovarian cysts, and the methods for performing and evaluating abdominal cerclages. They also explore the physiological changes in pregnant patients and the adjustments needed for anesthesia, laparoscopic entry, pressures during surgery, and pre/post-operative care.

Timestamps

00:00 - Introduction
07:20 - Laparoscopy in Pregnant Patients
11:23 - Common Surgeries During Pregnancy
15:56 - Laparoscopic Surgery Techniques
24:04 - Physiologic Changes in Pregnancy
27:33 - Access Methods and Pressure Considerations
28:53 - Managing Torsion and Cysts in Pregnancy
30:21 - Energy Use and Safety in Pregnant Patients
31:38 - Preoperative and Postoperative Care
34:15 - Cerclage Procedures and Counseling
47:46 - Professional Reflections and Conclusions

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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