Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy

Koo, Yu-Jin; Kim, Hyun Ja; Lim, Kyung-Taek; Lee, Ki-Heon; Shim, Jaewoo; Yoon, Seok-Nam; Kim, Ju Ree; Kim, Tae-Jin

doi:10.1111/j.1479-828x.2011.01380.x

Cited by 49 publications

(37 citation statements)

References 13 publications

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“…The researchers reported a patient, who experienced an abortion, but no fetal anomalies were observed 17. Maternal and fetal outcomes were not adversely affected by either laparoscopy or laparotomy 18 19 25. In accordance with the literature, we did not observe any adverse neonatal outcomes.…”

Section: Discussionsupporting

confidence: 87%

Surgical intervention for adnexal masses during pregnancy

et al. 2013

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SUMMARYWe aimed to evaluate the influence of surgical intervention on gestational and neonatal outcomes in women who underwent elective surgery in the second trimester of gestation because of an adnexal mass. We retrospectively reviewed the hospital records of women who underwent elective surgery for adnexal masses in the second trimester of gestation between 2006 and 2012. The ages of the women ranged between 17 and 33 years. Eight women underwent a laparotomy, and one woman, who aborted on the day of the operation, underwent a laparoscopy. Dermoid cysts, cystadenoma and borderline ovarian tumours were present in four, two and two of the women, respectively. Eight women had no complications after surgery and delivered healthy newborns at term. We concluded that elective surgery on an adnexal mass in the second trimester of gestation is safe for both the mother and the fetus.

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Section: Discussionsupporting

confidence: 87%

Surgical intervention for adnexal masses during pregnancy

et al. 2013

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“…However, increasing evidence suggests that laparoscopic treatment of adnexal masses in pregnancy is safe and effective. 4–6 Various laparoscopic entry techniques such as open Hassan, Palmer's point, or left upper quadrant (LUQ) entry have been used in pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Adnexal Masses in Pregnancy

Ngu

Cheung

Pun

2014

JSLS

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“…However, there is no consensus about the best surgical choice for ovarian cyst during pregnancy. Numerous reports attest to the feasibility of laparoscopic surgery during pregnancy; whereas other scholars are concerned about the risk of laparoscopy, such as an increase in fetal deaths . An updated search has not identified any randomized controlled trials .…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of laparoscopy versus laparotomy in the management of ovarian cyst during pregnancy

Chen

Ding

Hua

2013

J of Obstet and Gynaecol

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Aim: The aim of the present study was to evaluate the surgical and obstetric results of laparoscopy versus laparotomy in the management of ovarian cyst during pregnancy. Material and Methods: Sixty-nine eligible patients who met our criteria were randomly divided into the laparoscopy group (n = 33) and the laparotomy group (n = 36). The two groups were compared for their surgical and obstetric outcomes and the extent of pelvic adhesion discovered in later cesarean section (CS). Results: The laparoscopy group had less blood loss (43 ± 15 vs 51 ± 13 mL, P = 0.02), shorter postoperative hospital stay (2.9 ± 0.5 vs 5.8 ± 0.6 days, P < 0.001), and lower postoperative pain score (2.7 ± 1.2 vs 5.9 ± 1.5, P < 0.001) compared with the laparotomy group. The operative time, neonates' Apgar scores and birthweights between the two groups showed no significant differences (P > 0.05). Sixteen patients in the laparoscopy group, and 15 patients in the laparotomy group underwent cesarean section. The filmy and dense type adhesion rate was significantly different between the laparoscopy group and the laparotomy group (6.25% vs 53.3%, and 0% vs 20%, respectively). Conclusions:The present results suggest that laparoscopy is a better choice than laparotomy for ovarian cyst during pregnancy, with less blood loss, less postoperative pain and less postoperative hospital stay. It offers a faster recovery, results in less pelvic adhesion and does not affect the fetus; however, studies encompassing larger numbers of cases are needed.

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Laparotomy versus laparoscopy for the treatment of adnexal masses during pregnancy

Abstract: The laparoscopic approach appears to offer a suitable alternative to laparotomy, which, in our setting, was associated with shorter operative times and hospital stays than laparotomy.

Cited by 49 publications

References 13 publications

Surgical intervention for adnexal masses during pregnancy

Surgical intervention for adnexal masses during pregnancy

Surgical Management of Adnexal Masses in Pregnancy

Comparative analysis of laparoscopy versus laparotomy in the management of ovarian cyst during pregnancy

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