Laparoscopic Management of Adnexal Masses

Duggal, BS; Tarneja, P; Sharma, RK; Rath, Saroj Kumar; Wadhwa, RD

doi:10.1016/s0377-1237(04)80153-9

Cited by 7 publications

(12 citation statements)

References 13 publications

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“…In a comparable study of Lt ColBS Duggal et al, the mean age was 33 yrs. 8 In present study; we had included 2 cases of patients aged 15 yrs with dermoid cysts. As such, our study was conducted in a relatively younger group of patients.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of adnexal masses: a hospital-based study

Bhattacharjee

Sharma

2018

Int J Reprod Contracept Obstet Gynecol

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Background: Laparoscopy is a widely used procedure in gynecological cases both for diagnostic and operative purposes. Laparoscopic surgery has been associated with early recovery, shorter duration of hospital stay and significant patient satisfaction. The present study is conducted to evaluate the effectiveness and safety of laparoscopy in the management of adnexal masses. Primary aim of this study is to find out the indications, intraoperative findings and the different interventions contemplated to deal with the adnexal masses.Methods: The study period was of 7 months, from July 2017 to January 2018, in the Dept of Obstetrics and Gynecology, MGM Medical College and M.Y. Hospitals Indore, MP. During this period, 63 patients underwent laparoscopy for various adnexal masses. Cases were critically analyzed and results were presented.Results: Most of the patients were from the age-group 25-30 yrs. Most common indication was ovarian tumor of varied pathology. Most common surgical procedure performed was ovarian cystectomy. The most common histopathological finding was functional ovarian cyst. Only 3.1% of cases needed conversion to laparotomy for the completion of the procedure. Complication rate was minimal.Conclusions: Laparoscopy due to its lesser adverse effects, less postoperative pain, shorter stay in hospital, small erre-admission rates, better panoramic vision is considered more beneficial than laparotomy. Careful patient selection and availability of a experts should be taken into account. The current study is an over view of our experience in favor of laparoscopy in treatment of a large population of women with benign adnexal masses.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic management of adnexal masses: a hospital-based study

Bhattacharjee

Sharma

2018

Int J Reprod Contracept Obstet Gynecol

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“…A lots of authors advocated preoperative evaluation for ovarian tumor transvaginal ultrasonography for morphologic scoring (internal borders, septations, papillary projections, echogenicity, and volume) and existence of ascites; color doppler transvaginal: vascular quality is evaluated by vascular resistance index and pulsativity index, cut off pulsativity index less than 1 or/and resistance index less than 0.4 define criterion for discriminating from malignant tumor and serum levels of CA125 with cut off value of 35 U/mL [28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…Feuer et al studied removal of pelvic masses even large specimens transvaginal thorough colpotomy after bagging the specimens through robot-assisted laparoscopic surgery in fifty women [28]. They found this technique was doing well in all cases, there was no spillage in any one, with an average time of operation 94.22 ± 4.48 and no intraoperative complications [34].…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopy was widely accepted as a standard diagnostic and therapeutic method for low risk adnexal masses. But, still using it in malignant masses is under trial [9]. Laparoscopy proffers several advantages over the conventional laparotomy approach including smaller size of incisions, enhanced visualization, decreased blood loss, and sooner recovery.…”

Section: Introductionmentioning

confidence: 99%

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Undiagnosed Adnexal Masses: Can be Managed by Laparoscopy Assisted Colpotomy?

Saleh¹

2015

Gynecol Obstet

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Laparoscopic procedures were moved ahead in management of gynecological problems. Improving the skill makes rate of complications of this procedure is low. Recently, it is believed the chosen practice for delighting adnexal Lesions. As Posterior colpotomy is applied only in laparoscopic hysterectomy. So, this study aimed to evaluate the safety and potential advantages of laparoscopy when assisted by colpotomy for organization of undiagnosed masses in adnexa through estimation of intraoperative events such as estimated blood loss, operative time and complications also postoperative pain and complications.

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“…It helps in easier evaluation and management of abdominal pain and pelvic pathology i.e. pelvic masses or adnexal pathology 2 . Laparoscopy helps in successful management of patients with adnexal pathology.…”

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confidence: 99%

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

Pawar¹,

Patil²

2014

jemds

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BACKGROUND:The Laparoscope is a precise diagnostic tool. Laparoscopy represents a considerable advance in the early and accurate diagnosis and management of pelvic pathologic conditions. Laparoscopy now provides the gynecologist valuable information necessary for the choice of treatment in case of adnexal pathology. The present study carried out with the objective to evaluate the role of laparoscopy in diagnosis of adnexal pathology and management of it. METHODOLOGY: The present prospective study carried among women attending outpatient department of gynecology having Adnexal pathology at tertiary care center located in Maharashtra over the period of two years. The data analyzed for frequency distributions showing number and percentages were generated for each identified variables. RESULTS: Total 32 laparoscopies were performed in patients who attended the gynecology department over a period of 2 years. The majority having suspected ectopic pregnancy (37.5%) & ovarian cyst (37.5%).The majority of patients came with history of abdominal pain (62.5%) and lump in abdomen (21.87%). Most common laparoscopic procedure carried out for tubal ectopic pregnancies in study was salpingectomy (55.50%) and Cystectomy (53%) was done for ovarian mass. Difficulties encountered during laparoscopic procedure were removal of large adnexal masses (3.1%) and misplaced IUCD (3.1%).The complication observed was drainage of cyst (6.2%)during intraoperative while pain in abdomen (25%), vomiting (9%) post-operative procedure of laparoscopy. CONCLUSION: The study concludes for evaluation and management of adnexal pathology laparoscopy should be considered the method of choice as it offers the advantages of fewer postoperative adhesions, reduced pain, technically feasible, safe, and better cosmetic results. KEYWORDS: Women, Laparoscopy, Adnexal Pathology, Management.INTRODUCTION: "Laparoscopy is a most effective technique for bridging the gap between clinical evaluation and major surgical explorations. The Laparoscope is a precise diagnostic tool which should have a much more prominent place in gynecology than it has at the present time with modern optical systems, high intensity fiber optic cold light sources and convenient means of creating and maintaining pneumo peritoneum, the instrument represent as precise, safe and acceptable means of evaluating and managing gynecology patients today.The evolving laparoscopic technology has enabled endoscopic management of most of adnexal masses 1 . Laparoscopy gives precise information about uterus, fallopian tubes, ovaries and broad ligament structures that cannot be offered by any other clinical examination or investigations. It helps in easier evaluation and management of abdominal pain and pelvic pathology i.e. pelvic masses or adnexal pathology 2 . Laparoscopy helps in successful management of patients with adnexal pathology.

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Laparoscopic Management of Adnexal Masses

Cited by 7 publications

References 13 publications

Laparoscopic management of adnexal masses: a hospital-based study

Laparoscopic management of adnexal masses: a hospital-based study

Undiagnosed Adnexal Masses: Can be Managed by Laparoscopy Assisted Colpotomy?

Laparoscopic Evaluation and Management of Adnexal Pathology Among Women Attending Tertiary Care Centre, Maharashtra

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