Laparoscopic management of benign ovarian masses

Rachana Saha, Saha R, Chanda Karki, Karki C
JNMA; journal of the Nepal Medical Association · 2013 · vol. 52(192) , pp. 608–11 · doi:10.31729/jnma.1789 · PMID:25327236
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This study analyzed 34 laparoscopic surgeries for benign ovarian masses, finding dermoid and endometriotic cysts most common, with minor complications and no malignancies.

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This prospective study evaluated the safety and feasibility of laparoscopic surgery for benign ovarian masses at a hospital in Nepal. The researchers analyzed thirty-six patients, identifying dermoid cysts and endometriotic cysts as the most prevalent conditions among the cohort. While the majority of procedures were successful with no major complications, five cases required conversion to laparotomy due to severe adhesions associated with endometriosis. Relevance to endometriosis: listed as one indication for surgical intervention, though the paper's main focus is broader benign ovarian mass management.

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Abstract

INTRODUCTION: Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome. METHODS: A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. All the patients undergoing laparoscopic surgery for benign ovarian masses from 1st January 2012 to 31st December 2012 were included in the study. The pre-operative findings, intra-operative findings, operative techniques and post-operative complications were analyzed. RESULTS: Thirty-six patients were taken for the study. Two cases were excluded since intra-operatively they were tubo-ovarian masses. The most common tumor was dermoid cyst (n=13; 38.23%) and endometriotic cyst (n=14; 41.17%). Out of 34 cases, five cases of endometriotic cyst (14.70%) were converted to laparotomy due to severe adhesions and four cases of endometriotic cyst underwent deroofing surgery. Two cases underwent laparoscopic assisted vaginal hysterectomy with bilateral salphingo-oopherectomy. Successful cystectomies were carried out in 22 cases. None were malignant. Major complications were not noted while minor complications like port-site infection (n=3; 8.82%) and subcutaneous emphysema (n=1; 2.9%) were present. CONCLUSIONS: Laproscopic management of benign ovarian masses is safe and feasible.
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Laparoscopic Management of Benign Ovarian Masses DOI: https://doi.org/10.31729/jnma.1789Abstract Introduction: Laparoscopic surgery is one of the most common procedures performed for benign ovarian masses. The aim of the study was to analyze all benign ovarian masses treated laparoscopically to assess safety, feasibility and outcome. Methods: A prospective study was carried out at Kathmandu Medical College Teaching Hospital, Sinamangal, Nepal. All the patients undergoing laparoscopic surgery for benign ovarian masses from 1st January 2012 to 31st December 2012 were included in the study. The pre-operative findings, intra-operative findings, operative techniques and post-operative complications were analyzed. Results: Thirty-six patients were taken for the study. Two cases were excluded since intra-operatively they were tubo-ovarian masses. The most common tumor was dermoid cyst (n=13; 38.23%) and endometriotic cyst (n=14; 41.17%). Out of 34 cases, five cases of endometriotic cyst (14.70%) were converted to laparotomy due to severe adhesions and four cases of endometriotic cyst underwent deroofing surgery. Two cases underwent laparoscopic assisted vaginal hysterectomy with bilateral salphingo-oopherectomy. Successful cystectomies were carried out in 22 cases. None were malignant. Major complications were not noted while minor complications like port-site infection (n=3; 8.82%) and subcutaneous emphysema (n=1; 2.9%) were present. Conclusions: Laproscopic management of benign ovarian masses is safe and feasible. Downloads Published How to Cite Issue Section License JNMA allow to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. The author(s) are allowed to retain publishing rights without restrictions. The JNMA work is licensed under a Creative Commons Attribution 4.0 International License. More about Copyright Policy.

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Condition tags

endometriosis

MeSH descriptors

Cystadenoma, Serous Endometriosis Laparoscopy Laparoscopy Ovarian Cysts Ovarian Neoplasms Teratoma Adult Adult Cystadenoma, Serous Cystadenoma, Serous Endometriosis Endometriosis Female Female Humans Humans Ovarian Cysts Ovarian Cysts Ovarian Neoplasms

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