Vaginal extraction of pelvic masses following operative laparoscopy

F Ghezzi, Fabio Ghezzi, L Raio, Luigi Raio, M D Mueller, Michael D. Mueller, Thomas Gyr, T Gyr, M Buttarelli, Massimo Piergiuseppe Franchi, M Franchi
Surgical endoscopy · 2002 · vol. 16(12) , pp. 1691–1696 · doi:10.1007/s00464-002-9043-z · PMID:12140631 · W2074326396
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-07 ⓘ

This study investigated the clinical outcome of laparoscopic surgery for benign pelvic masses, finding vaginal extraction of specimens to be feasible, safe, and cosmetically superior to abdominal extraction with no reported complications.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This study investigated clinical outcomes in patients undergoing operative laparoscopy for a suspected benign pelvic mass (>5 cm) or an extrauterine pregnancy, followed by vaginal extraction of the freed specimen via a laparoscopic colpotomy at the posterior vaginal fornix. Sixty-three patients were included, and those with endometriosis, pelvic inflammatory disease, or prior hysterectomy were excluded. Median specimen extraction time was 15 minutes, and it was longer for myomas than for other indications, but no intra- or postoperative colpotomy-related complications were observed and no dyspareunia was reported at follow-up; a literature review of 23 studies (501 patients) identified only one colpotomy-related complication (severe vaginal bleeding at 0.2%). This paper is centrally about adenomyosis/endometriosis exclusion—patients with endometriosis were excluded, so it does not evaluate endometriosis or adenomyosis outcomes directly.

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Objective: To investigate the clinical outcome of patients undergoing operative laparoscopy for a benign pelvic mass followed by vaginal extraction of the surgical specimen. Methods: Patients presenting with a suspected benign mass greater than 5 cm or an extrauterine pregnancy undergoing operative laparoscopy were considered eligible. Patients with endometriosis, pelvic inflammatory disease, and previous hysterectomy were excluded. In all cases the surgical specimen was removed through a colpotomy performed in laparoscopy at the level of the posterior vaginal fornix. Additionally, a review of the literature has been conducted to specifically address the incidence of colpotomy-related complications. Results: Sixty-three patients were included in the study. The median (range) time required to extract the freed mass to the complete suture of the colpotomy was 15 min (5–31). This time was significantly longer in patients with myomas than for others [median 21 min (range: 10–31) vs median 10 min (5–13), p<0.05]. No intra- and postoperative colpotomy related complications occurred. No patients complained dyspareunia at follow-up visits. A total of 23 studies were reviewed for a total of 501 patients and only one (0.2%) complication (severe vaginal bleeding) was directly attributable to the colpotomy. Conclusion: Removal of a pelvic mass through a laparoscopic colpotomy is feasible, safe, and offers better cosmetic results than transabdominal extraction of the surgical specimen. Similar content being viewed by others Author information Authors and Affiliations Rights and permissions About this article Cite this article Ghezzi, F., Raio, L., Mueller, M. et al. Vaginal extraction of pelvic masses following operative laparoscopy . Surg Endosc 16, 1691–1696 (2002). https://doi.org/10.1007/s00464-002-9043-z Received: Accepted: Issue date: DOI: https://doi.org/10.1007/s00464-002-9043-z

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MeSH descriptors

Fallopian Tube Diseases Genital Neoplasms, Female Laparoscopy Pelvis Pregnancy, Tubal Vagina Adolescent Adult Appendix Appendix Appendix Colpotomy Colpotomy Fallopian Tube Diseases Female Genital Neoplasms, Female Humans Laparoscopy Middle Aged Mucocele

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