Laparoscopic pelvic adnexal surgery in Nobel Medical College

Amar Nath Chaudhary, Gehanath Baral, Prajmi Shrestha, Rakina Bhanshakarya
In: Nepal Journal of Obstetrics and Gynaecology · 2021 · vol. 16(1) , pp. 65–68 · doi:10.3126/njog.v16i1.37522 · W3190147090
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This one-year observational study analyzed 123 laparoscopic pelvic surgeries for adnexal masses, identifying mature cystic teratoma as the most common histopathological diagnosis followed by endometriosis and ovarian cystadenomas.

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This observational study analyzed one year of laparoscopic pelvic surgeries for adnexal masses at Nobel Medical College and Teaching Hospital in Nepal. The researchers evaluated 123 procedures to determine indications, surgical types, complications, and final histopathological diagnoses. Results indicated that mature cystic teratoma was the most frequent diagnosis, followed by endometriosis and cystadenoma, with cystectomy being the predominant surgical intervention. Relevance to endometriosis: listed as a common histopathological finding among patients undergoing laparoscopic surgery for adnexal masses.

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Abstract

Aim: To share early experience of gynaecological laparoscopic surgeries for adnexal masses in Nobel Medical College and Teaching Hospital (NMCTH). Methods: This is a observational descriptive study in the Department of Obstetrics and Gynaecology of Nobel Medical College, Biratnagar for one year in 2019-2020. All the patients undergoing laparoscopic pelvic surgeries for adnexal masses were analysed for indication, type of procedure, complications and histopathological diagnosis. Results: A total of 123 laparoscopic surgeries were performed. Preoperative diagnosis in most of the cases was adnexal mass followed by adnexal evaluation for subfertility. The common surgical procedure was cystectomy followed by salpingo-oophorectomy in 80% of cases. The most common histopathological diagnosis was mature cystic teratoma (42; 34%) followed by endometriosis (29; 23.8%) and cystadenoma (25; 20.3%). Conclusions: Adnexal evaluation and surgical treatment were performed with laparoscopy. The common pathologies were mature cystic teratoma, endometriosis and ovarian cystadenomas.
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Keywords

adnexal mass, dermoid, endometriosis, laparoscopyAbstract Aim: To share early experience of gynaecological laparoscopic surgeries for adnexal masses in Nobel Medical College and Teaching Hospital (NMCTH).

Methods

This is a observational descriptive study in the Department of Obstetrics and Gynaecology of Nobel Medical College, Biratnagar for one year in 2019-2020. All the patients undergoing laparoscopic pelvic surgeries for adnexal masses were analysed for indication, type of procedure, complications and histopathological diagnosis.

Results

A total of 123 laparoscopic surgeries were performed. Preoperative diagnosis in most of the cases was adnexal mass followed by adnexal evaluation for subfertility. The common surgical procedure was cystectomy followed by salpingo-oophorectomy in 80% of cases. The most common histopathological diagnosis was mature cystic teratoma (42; 34%) followed by endometriosis (29; 23.8%) and cystadenoma (25; 20.3%).

Conclusions

Adnexal evaluation and surgical treatment were performed with laparoscopy. The common pathologies were mature cystic teratoma, endometriosis and ovarian cystadenomas. Downloads Published How to Cite Issue Section License Copyright (c) 2021 Amar Nath Chaudhary, Gehanath Baral, Prajmi Shrestha, Rakina Bhanshakarya This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Copyright on any research article in the Nepal Journal of Obstetrics and Gynaecology is retained by the author(s). The authors grant the Nepal Journal of Obstetrics and Gynaecology a license to publish the article and identify itself as the original publisher. Articles in the Nepal Journal of Obstetrics and Gynaecology are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/) This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.

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Condition tags

endometriosis

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