Salpingo-oophorectomy for adnexal masses. Place and results for operative laparoscopy

European Journal of Obstetrics, Gynecology, and Reproductive Biology
C ChapronS Capella-Allouc

Abstract

The aim of the study is to specify the place, modalities and results of operative laparoscopy when adnexectomy is indicated in a patient presenting with an adnexal mass. A retrospective analysis of the 186 patients who underwent adnexectomy for an adnexal mass between January 1, 1989 and December 31, 1994. The operation took place via laparotomy in 34.9% of cases (65 patients) and by laparoscopic surgery in 65.1% of cases (121 patients). All the patients presenting a malignant ovarian lesion (15 cases) were operated by laparotomy. For these patients the laparotomy was decided from the outset in 7 cases and there was a conversion to laparotomy decided during the diagnostic phase of laparoscopy in 8 cases. The preoperative workup (clinical examination, study of past history, trans vaginal ultrasonography, doppler, tumoral markers etc.) together with the diagnostic phase of laparoscopy provide 100% sensitivity, a positive predictive value of 50% and a negative predictive value of 100% for diagnosis of malignancy. These results demonstrate that provided a strict selection system is used, it is possible to carry out adnexectomy using laparoscopic surgery in 70.8% of cases (121/171) for patients with benign adnexal mass.

References

Aug 1, 1995·European Journal of Obstetrics, Gynecology, and Reproductive Biology·B BlancL Boubli
Jul 1, 1995·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·H Tintara, R Leetanaporn
Sep 1, 1994·European Journal of Obstetrics, Gynecology, and Reproductive Biology·B BlancE Nicoloso
Aug 1, 1994·American Journal of Obstetrics and Gynecology·D E PittawayP Bauguess
May 1, 1996·Human Reproduction·C ChapronJ B Dubuisson
Aug 1, 1994·The Journal of the American Association of Gynecologic Laparoscopists·F J MontzM Munro

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Citations

Apr 15, 2000·The Australian and New Zealand Journal of Surgery·K H LeeK K Liu
Mar 7, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Aug 19, 2007·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·L R MedeirosS Furness
Apr 17, 2009·The Cochrane Database of Systematic Reviews·Lídia R F MedeirosAirton T Stein

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