Laparoscopic management of 269 benign adnexal masses: A 6 year experience

• Main Authors: Neelima T, Rathore S
• Format: Article
• Language: English
• Published: KIMS Foundation and Research Center 2016-03-01
• Series: Journal of Medical and Scientific Research
• Subjects: benign adnexal mass; females of reproductive age; laparoscopy; advantages of laparoscopy
• Online Access: http://jmsronline.com/article.aspx?ID=Laparoscopic-management-of-269-benign-adnexal-masses

Background:Benign ovarian pathology remains as a significant disorder in the female population of reproductive age group. During the last decades, laparoscopy has become thegold standardtreatment of benign adnexal masses.Lessadhesions,less operative pain and better cosmetic results are the advantages of this procedure.The objective of the study is to establish the role of laparoscopy in the management of benign adnexal masses.Methodology:The study included 269 patients with benign adnexal masses,treatedlaparoscopically in the department of obstetrics and gynaecology,KIMS Hospital,Secunderabad from 2008 to 2015.Results:The diagnosisin 21cases was endometriosis of the ovary(7.8%), in 26 cases it washydrosalphinx(9.6%), in 42 cases serous cystadenoma(15.6%),in 80 cases dermoid(29.7%),in 9 cases para-ovarian tumors(3.3%), in 15 cases unruptured follicular cyst(5.6%),in 12 cases adnexal mass with uterine pathology(4.5%),in 7 cases ovarian torsion(2.6%),in 2 cases pregnancy with hydrosalphinx with torsion(0.7%),in 8 cases mucinous cystadenoma(3%),in 2 cases ovarian fibroma(0.7%),in 1 case Brennerstumor(0.37%),in 44 cases ectopic pregnancy(16.4%).In 3 cases laparoscopy was converted to laparotomy due to technical difficulty.In 5 cases,frozen section was sent intra-operatively in view of suspicion of malignancy.Conclusion:Laparoscopy for the management of adnexal mass has the advantages of lower morbidity, shorter length of stay in hospital, decreased post-operative pain, lesser de-novo adhesion formations, better cosmetic results, faster recovery, and reduced overall cost of care. However, careful pre-operative evaluation is important for successful and appropriate use of laparoscopy for removal of adnexal masses.testing