Management of adnexal masses' torsion during pregnancy

Conte, Alpha Boubacar; Nyingone, Solène; Jayi, Sofia; Diagne, Bineta Jho; Alaoui, Fatima Zohra Fdili; Chaara, Hikmat; Melhouf, Moulay Abdelilah

doi:10.11604/pamj.2020.37.17.23869

Cited by 3 publications

(2 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recent studies have confirmed the safety of this surgery. 13,14,18 The most representative study covering 6.5 million people in the United Kingdom 19 reflects the increasing protection of anesthetic drugs and safety of nonobstetric surgery during pregnancy. 8,20 However, there is still a lack of assessment content for long-term follow-up in earlier research.…”

Section: Discussionmentioning

confidence: 99%

Application of transumbilical single port laparoscopic surgery for adnexal masses in pregnancy

Jiang,

Ding,

Huang

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

ObjectiveTo evaluate the safety and feasibility of single‐port laparoscopy during pregnancy in short term and long term.MethodsA multicenter retrospective study was conducted to investigate the clinical data of 38 pregnant women with adnexal masses who underwent transumbilical single‐port laparoscopic surgery from January 2017 to March 10, 2023.ResultsThe mean operation time was 72.7 ± 29.6 (30–160) min. The mean intraoperative blood loss was 30.5 ± 80.4 mL, the mean postoperative first defecation time was 2.5 ± 0.7 days, and the mean total hospital stay was 6.9 ± 1.4 days. None of the patients used analgesic drugs postoperatively. Two patients developed missed abortions within 1 month of surgery, one underwent induction of labor due to a dead fetus at 24 weeks and 5 days of gestation, and the other patients did not develop adverse events after surgery. Mean birth weight was 3322.3 ± 396.3 g. The fetal heart rate was 139 ± 6.4 bpm before operation and 149 ± 2.7 bpm after operation. The APGAR score at 1 and 10 min was 9.2 ± 0.6 points and 9.9 ± 0.2 points, respectively. The mean follow‐up time was 23.9 ± 16.1 (4.7–56) months, 90% (27/30) of the children had moderate developmental quotient, and 10% (3/30) of the children had good developmental quotient, without borderline low developmental quotient or mental retardation.ConclusionIt is safe, practical, and worthwhile to promote transumbilical single port laparoscopic surgery for pregnancies with adnexal masses in both short and long term.

show abstract

Section: Discussionmentioning

confidence: 99%

Application of transumbilical single port laparoscopic surgery for adnexal masses in pregnancy

Jiang,

Ding,

Huang

et al. 2023

Asian J Endoscop Surgery

View full text Add to dashboard Cite

show abstract

“…During the patient follow-up period, the diameter of each mass was measured. Based on the differential diagnoses of benign or malignant tumors, a 1-cm increase in a mass (as observed in the ultrasound) was considered tumor growth (6). Table 1 shows the relationship between tumor growth during pregnancy and pathological type.…”

Section: Growth Of a Persistent Adnexal Mass In Pregnancymentioning

confidence: 99%

Pathological features of persistent adnexal masses in pregnancy

et al. 2021

View full text Add to dashboard Cite

Background: The composition of pelvic masses during pregnancy is complex, and over >70% of masses are physiology. Determining the source and nature of tumor tissue is incredibly important in clinical practice, as the proportion of metastatic and low-grade tumors in adnexal masses increase during pregnancy. This study sought to analyze the pathological features of persistent adnexal masses in pregnancy.Methods: A retrospective case analysis method was adopted to summarize the pathologic features of persistent adnexal masses in pregnancy in 228 patients at the Beijing Chao-Yang Hospital, Capital Medical University.Results: Mature teratoma was the most common histopathological type of persistent adnexal masses in pregnancy (66/228,28.95%), followed by the corpus luteum of pregnancy (38/228,16.67%). Borderline/ malignant tumors accounted for 5.70% (13/228) of tumors. Malignant adnexal tumor tissues were derived from multiple types of tissues. a single-factor analysis showed that borderline/malignant tumors had a significant relationship with the morphological features of mass in the ultrasound (P=0.000), and had a significant relationship with initial mass size (P=0.018). A multivariate binary logistic regression analysis indicated no certain independent risk factor. A significant difference in tumor pathology distribution was noted between those who underwent emergency surgery during pregnancy, elective surgery during pregnancy, and simultaneous tumor removal during cesarean section (χ 2 =24.22, P=0.000). Conclusions:A special particularity exists in the pathology distribution of persistent adnexal masses in pregnancy. Additionally, extensive histological sources and the need to rule out borderline/malignancy for solid cystic tumors were noted.

show abstract