PMID: 9166300May 1, 1997Paper

Laparoscopic management of adnexal masses suspicious at ultrasound

Obstetrics and Gynecology
M CanisM A Bruhat

Abstract

To evaluate the laparoscopic management of adnexal masses suspicious at ultrasound. In a prospective study, adnexal masses suspicious at ultrasound were managed by laparoscopy. Indications for laparotomy included general contraindications to laparoscopy, obviously disseminated ovarian cancer, and technically impossible laparoscopic treatment. After laparoscopic diagnosis, frozen sections were used to confirm a diagnosis of malignancy. Treatment was performed by laparoscopy whenever feasible. Over a 3-year period, 247 of the 599 adnexal masses (41.2%) treated in our department were suspicious or solid at ultrasound. Seventeen patients were evaluated by laparotomy and 230 by laparoscopy. Overall, 204 women (82.6%) were treated by laparoscopy, including seven of the 37 malignant tumors (18.9%) and 197 of the 210 benign masses (93.8%). One case of tumor dissemination occurred after a laparoscopic adnexectomy and morcellation of a grade 1 immature teratoma. Laparoscopic diagnosis of adnexal masses suspicious at ultrasound avoids many laparotomies for the treatment of benign masses and allows an improved inspection of the upper abdomen. The laparoscopic treatment of adnexal masses suspicious at surgery should be evaluated further in ...Continue Reading

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Citations

Jul 7, 2000·Seminars in Surgical Oncology·M CanisM A Bruhat
May 21, 2005·Journal of Minimally Invasive Gynecology·Ludovico MuziiPierluigi Benedetti Panici
Oct 25, 2000·The Journal of the American Association of Gynecologic Laparoscopists·P A Argenta, F Nezhat
Aug 5, 2000·The Journal of the American Association of Gynecologic Laparoscopists·U UlrichJ Keckstein
Mar 17, 2001·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K JermyT Bourne
Aug 3, 2002·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N BerlandaG Pardi
Jul 14, 2001·Current Opinion in Obstetrics & Gynecology·L Mettler
Aug 2, 2002·Current Opinion in Obstetrics & Gynecology·Michel CanisMaurice Antoine Bruhat
Jan 11, 2000·Clinical Obstetrics and Gynecology·W R Keye
Nov 1, 2001·Clinical Obstetrics and Gynecology·T P Manolitsas, J M Fowler
Aug 4, 2006·Clinical Obstetrics and Gynecology·Wesley S HilgerPaul M Magtibay
Aug 22, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Richard H Demir, Greg J Marchand
May 19, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·M CanisM A Bruhat
Jun 27, 2014·Human Reproduction·H MatsushitaA Wakatsuki
Mar 3, 2012·Journal of Minimally Invasive Gynecology·Camran R Nezhat
Jan 1, 2004·Medical Journal, Armed Forces India·B S DuggalR D Wadhwa
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Mar 27, 2015·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Ching-Hui ChenWei-Min Liu
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Nov 26, 2015·Revista da Associação Médica Brasileira·Daniel Spadoto DiasRogério Dias
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Oct 12, 2001·Annals of the New York Academy of Sciences·T Pejovic, F Nezhat
Dec 17, 2015·Clinical Obstetrics and Gynecology·Kimberly A Kho, Douglas N Brown

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