Shalin Lyall, Jacob Jayakar, Guru Prasath.
Innovative technique for cholecystectomy in twin pregnancy complicated with biliary pancreatitis.
J Surg Pak Jan ;17(1):43-5.

Bilio-pancreatic disorders manifesting during pregnancy are relatively rare and the management of these conditions remains controversial. Although perioperative problems with fetal loss have been reported, recent publications have advocated an early surgical approach. We present a case of twin pregnancy with biliary pancreatitis associated with bilateral pleural effusion. Epidural anesthesia was given. A laparoscopic clip applicator was used to clip the cystic artery and cystic duct instead of conventional suture ligation thus reducing the operative time, retraction of uterus and the associated stress. This technique is recommended as an alternate means, of duct and artery ligation when the operative time has to be reduced with narrow field of vision.

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