Management of a Persistent Adnexal Mass in Pregnancy: What Is the Ideal Surgical Approach?

Balthazar, Ursula; Steiner, Anne Z.; Boggess, John F.; Gehrig, Paola A.

doi:10.1016/j.jmig.2011.07.002

Cited by 34 publications

(59 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Post‐operative spontaneous abortion and threatened spontaneous abortion were defined as events occurring within 1 week of surgery as a consequence of the surgery; otherwise, events were defined as spontaneous abortion due to obstetric factors. There was a single spontaneous abortion reported in one study; it occurred at 25 weeks of pregnancy, following spontaneous rupture of membranes at 24 weeks and subsequent chorioamnionitis at 25 weeks. Post‐operative spontaneous abortion was reported in four studies but only two had sufficient data for pooling .…”

Section: Resultsmentioning

confidence: 96%

“…Surgical outcomes (post‐operative adverse events, hospital stay, and operative duration) were available for all four studies. However, only three studies had sufficient estimated blood loss data for pooling. Two studies reported post‐operative pain scores, and one study evaluated pelvic adhesion among patients who underwent cesarean delivery.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Meta‐analysis comparing the safety of laparoscopic and open surgical approaches for suspected adnexal mass during the second trimester

Liu

Zhang

Huang

et al. 2016

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Meta‐analysis comparing the safety of laparoscopic and open surgical approaches for suspected adnexal mass during the second trimester

Liu

Zhang

Huang

et al. 2016

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

show abstract

“…So far, no significant or clinically relevant differences have been found between any technique [19][20][21][22]. A meta-analysis published recently found no difference in major vascular or visceral complications.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies published regarding management of adnexal masses during gestation encourage the use of open or Hasson technique [19,20,22,24], speculating that there is a higher risk of injury to the gravid uterus using the Veress needle method. Some studies have been published using the closed entry (Veress) technique [15,16,25], although there are no trials comparing the two in pregnant patients.…”

Section: Discussionmentioning

confidence: 99%

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

et al. 2014

View full text Add to dashboard Cite

Management of adnexal masses during pregnancy is challenging for most gynecologists. When surgery is needed, a minimally invasive approach should be preferred. The aim of this study was to evaluate the safety and feasibility of the closed entry technique for laparoscopic management of adnexal masses during pregnancy. We reviewed clinical records and videos of laparoscopic procedures performed during pregnancy. Seventeen pregnant patients with diagnosis of adnexal mass that required surgery underwent laparoscopic surgery using the closed entry or Veress technique. We searched for complications related to surgery and obstetrical and perinatal outcomes. Median gestational age at the moment of surgery was 17 weeks (range, 6-30 +4 weeks). A total of 18 interventions were performed: 12 salpingo-oophorectomies, 3 cystectomies, 1 salpingectomy, and 2 ovarian detorsions. There were no major operative or entry-related complications. Median hospital stay was 2 days (range, 1-5). Perinatal outcomes were as follows: four preterm births (all of them induced), nine full-term deliveries, one early pregnancy loss at 7 weeks, one miscarriage at 18 weeks, and two ongoing uncomplicated pregnancies. Laparoscopic approach using closed entry technique with an individual selection of the puncture site is safe in the management of adnexal masses that require surgery during pregnancy. In our experience, the Veress technique is more versatile as it gives the surgeon more freedom to choose the location of the first trocar in patients with important space limitations due to the size of the adnexal mass and/or the enlarged gravid uterus.

show abstract

Management of a Persistent Adnexal Mass in Pregnancy: What Is the Ideal Surgical Approach?

Cited by 34 publications

References 16 publications

Meta‐analysis comparing the safety of laparoscopic and open surgical approaches for suspected adnexal mass during the second trimester

Meta‐analysis comparing the safety of laparoscopic and open surgical approaches for suspected adnexal mass during the second trimester

Surgical Management of Adnexal Masses in Pregnancy

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Contact Info

Product

Resources

About