The prognostic significance of minimal intracystic vegetations during operative laparoscopy for adnexal masses in women of reproductive age

Caruana, Paul; Marana, Riccardo; Catalano, Giovan Fiore; Muzii, Ludovico; Pedullà, S; Mancuso, Stefano

doi:10.1016/s1074-3804(96)80007-7

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…Minimal intracystic vegetations found intraoperatively during endocystic evaluation, in women of reproductive age, do not justify immediate midline laparotomy if the frozen‐section findings are negative, as most of such vegetations are benign 19–24 . In the present study, five cases with a benign frozen‐section findings were subsequently reported to be fibromas.…”

Section: Discussionmentioning

confidence: 58%

Laparoscopic management of cystic adnexal masses

et al. 2002

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Objective To analyse all laparoscopic treatment of cystic adnexal tumours in the period 1998–2000. Design Retrospective evaluation of surgical procedures (Canadian Task Force classification III). Setting University department of obstetrics and gynaecology. Patients 427 patients with cystic adnexal masses. Interventions 141 patients underwent an adnectomy/ovariectomy and 286 an ovariectomy, ovarian cyst enucleation or biopsy by operative laparoscopy. Results Laparoscopic treatment was possible in 97% of patients with adnexal masses. In 10 patients (2.3%) a conversion to laparotomy was necessary. Conclusions After careful evaluation, most cases of adnexal mass can be managed laparoscopically. The risk of missing a malignancy is very low. Proper attention to techniques and training reduces complications and the risk of spillage.

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Section: Discussionmentioning

confidence: 58%