Conclusion
Non-obstetric pelvic surgery during pregnancy was associated with higher risk of preterm birth, LBW, gestational hypertension, placenta previa, placental abruption, and C/S. Although the benefits and safety of laparoscopy during pregnancy appear similar to those of laparotomy in pregnancy outcomes, laparoscopic adnexal mass resection was associated with a lower risk of LBW. The results of this study should be considered when selecting surgical and procedural approaches to optimize patient outcomes.