Laparoscopic Management of Benign Ovarian Masses

Abstract

Introduction: Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome.Methods: A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. All the patients undergoing laparoscopic surgery for benign ovarian masses from 1st January 2012 to 31st December 2012 were included in the study. The pre-operative findings, intra-operative findings, operative techniques and post-operative complications were analyzed.Results: Thirty-six patients were taken for the study. Two cases were excluded since intra-operatively they were tubo-ovarian masses. The most common tumor was dermoid cyst (n=13; 38.23%) and endometriotic cyst (n=14; 41.17%). Out of 34 cases, five cases of endometriotic cyst (14.70%) were converted to laparotomy due to severe adhesions and four cases of endometriotic cyst underwent deroofing surgery. Two cases underwent laparoscopic assisted vaginal hysterectomy with bilateral salphingo-oopherectomy. Successful cystectomies were carried out in 22 cases. None were malignant. Major complications were not noted while minor complications like port-site infection (n=3; 8.82%) and subcutaneous emphysema (n=1; 2.9%) were present.Conclusions: Laproscopic management of benign ovarian masses is safe and feasible.

Clinical practice of mininally invasive gynaecological surgeries

“…10 The mean age of the patients undergoing laparoscopic surgery was 30±7.48 years (mean± SD) with maximum patients in the age group of 25-29 years. 11 In this series, laparoscopy for uterine pathology was done in 27 (31.3%), for ovarian pathology in 28 (32.5%) and for ectopic pregnancy in 11 (12.7%) women. Laparoscopic hysterectomy was done in 31 (36%) women, laparoscopic cystectomy in 12 (13.9%), laparoscopic tubal ligation in 9 (10.5%), laparoscopic unilateral salpingectomy in nine (10.5%), laparoscopic conversion to laparotomy in nine (10.5%), laparoscopy and tubal patency test in five (5.8%) and diagnostic laparoscopy in three (3.5%) patients.…”