Title: Laparascopic Evaluation and Management of Benign Adnexal Masses

Authors: Kiran Aggarwal, Kavita Pandey

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i6.37

Introduction: Benign adnexal masses can be effectively managed by laparoscopy. Laparoscopy provides the advantage of diagnosis and therapy at the same time. The risk of ovarian malignancy in women undergoing laparoscopy for preoperatively benign appearing ovarian tumors ranges from 0.1 to 4.2%.The promises of less postoperative pain, faster recovery, and lower costs have driven patients demand, and more gynaecologic procedures are now performed laparoscopically than in past.

Material and Methods: 35 patients with benign adnexal masses were included in the study needing surgery as per inclusion and exclusion criterion. Diagnostic laparoscopoy was followed by operative laparoscopy. Per op diagnosis was compared with histopathology. Surgical procedure, time taken, blood loss, preoperative and postoperative complications were studied and recorded.

Results: The mean age of patients was 30±7.33 years, majority being nullipara. Simple serous cyst (28.5%) and dermoid (17.1%). were the common preoperative diagnosis. Laparoscopic Cystectomy (31.43%) and cystectomy with chromopertubation (22.86%) were the most common procedures performed. Majority of the procedures was completed between 60-90 min. Mean blood loss was found to be 46.86ml. Conversion to laparotomy (11.43%) and cyst rupture (5.7%) were the most common per op complications. Laparoscopic diagnosis was found to be excellent for dermoid(sensitivity 100%specificity 100%), hemorrhagic cyst(sensitivity 100%specificity 100%), paraovarian cyst(sensitivity 100%,specificity 100%), good for simple serous cyst (sensitivity 83.33%,specificity 83.33%)and mucinous cyst(sensitivity 50%,specificity 96.56%).

Conclusion: Laparoscopic management of benign adnexal masses is safe effective and is both diagnostic and therapeautic at the same time. Post operative complications are negligible and in properly selected cases finding a malignancy is rare.

Key Words: Laparoscopic management, Benign adnexal masses, laparoscopic complications.

Editorial Policy

Authors should prepare their manuscripts according to the instructions given in the authors' guidelines. Manuscripts which do not ..

Read More.....

Frequency of Publication

JMSCR is published as monthly journal with 12 issues per year. Special editions are also planned subjected to the scope and need....

Read more...

Submission of Articles

Authors are invited to submit their research articles, review papers, Case Report properly formatted as per the author guidelines.........

Read more...