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Article: Surgical Management of Adnexal Masses in Pregnancy

TitleSurgical Management of Adnexal Masses in Pregnancy
Authors
Issue Date2014
PublisherSociety of Laparoendoscopic Surgeons.
Citation
Journal the of Society of Laparoendoscopic Surgeons, 2014, v. 18 n. 1, p. 71-75 How to Cite?
AbstractBackground and Objectives: Our objective was to review the surgical management, surgical outcomes, and obstetric outcomes of adnexal masses in pregnancy. Methods: A retrospective review was performed of pregnant women before 20 weeks of gestation who underwent laparoscopy or laparotomy for management of an adnexal mass during the period of January 2005 to June 2012 at a university-affiliated hospital. Results: Thirty-five pregnant women underwent surgical removal of adnexal masses during the 7.5-year study period: 21 (60.0%) underwent laparoscopic surgery, and 14 (40.0%) underwent laparotomy. The left upper quadrant entry technique was used in 20 women. Conversion to laparotomy was required in 2 women because of extensive pelvic adhesions. The mean gestational age at surgery was 15.2 ± 1.9 weeks. All women had undergone ovarian cystectomy. A malignant mass was found in 3 (8.6%) women. The laparoscopy group had a significantly less blood loss (67.4 ± 55.8 vs 153.6 ± 181.0 mL, P = .048) and shorter mean hospital stay (2.8 ± 1.0 vs 3.8 ± 1.1 days, P = .006) than the laparotomy group. One woman miscarried soon after surgery. There was no significant difference in obstetric outcomes between the laparoscopy and laparotomy groups. Conclusion: Surgical management of adnexal masses during pregnancy appears to have favorable outcomes for the mother and the fetus.
Persistent Identifierhttp://hdl.handle.net/10722/195934
ISSN
2015 Impact Factor: 0.814
2015 SCImago Journal Rankings: 0.481
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorNgu, SFen_US
dc.contributor.authorCheung, VYTen_US
dc.contributor.authorPun, TCen_US
dc.date.accessioned2014-03-21T02:23:07Z-
dc.date.available2014-03-21T02:23:07Z-
dc.date.issued2014en_US
dc.identifier.citationJournal the of Society of Laparoendoscopic Surgeons, 2014, v. 18 n. 1, p. 71-75en_US
dc.identifier.issn1086-8089-
dc.identifier.urihttp://hdl.handle.net/10722/195934-
dc.description.abstractBackground and Objectives: Our objective was to review the surgical management, surgical outcomes, and obstetric outcomes of adnexal masses in pregnancy. Methods: A retrospective review was performed of pregnant women before 20 weeks of gestation who underwent laparoscopy or laparotomy for management of an adnexal mass during the period of January 2005 to June 2012 at a university-affiliated hospital. Results: Thirty-five pregnant women underwent surgical removal of adnexal masses during the 7.5-year study period: 21 (60.0%) underwent laparoscopic surgery, and 14 (40.0%) underwent laparotomy. The left upper quadrant entry technique was used in 20 women. Conversion to laparotomy was required in 2 women because of extensive pelvic adhesions. The mean gestational age at surgery was 15.2 ± 1.9 weeks. All women had undergone ovarian cystectomy. A malignant mass was found in 3 (8.6%) women. The laparoscopy group had a significantly less blood loss (67.4 ± 55.8 vs 153.6 ± 181.0 mL, P = .048) and shorter mean hospital stay (2.8 ± 1.0 vs 3.8 ± 1.1 days, P = .006) than the laparotomy group. One woman miscarried soon after surgery. There was no significant difference in obstetric outcomes between the laparoscopy and laparotomy groups. Conclusion: Surgical management of adnexal masses during pregnancy appears to have favorable outcomes for the mother and the fetus.en_US
dc.languageengen_US
dc.publisherSociety of Laparoendoscopic Surgeons.-
dc.relation.ispartofJournal the of Society of Laparoendoscopic Surgeonsen_US
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.titleSurgical Management of Adnexal Masses in Pregnancyen_US
dc.typeArticleen_US
dc.identifier.emailNgu, SF: ngusiewf@hku.hken_US
dc.identifier.emailCheung, VYT: vytc@hku.hken_US
dc.identifier.emailPun, TC: puntc@hkucc.hku.hken_US
dc.identifier.authorityNgu, SF=rp01367en_US
dc.identifier.authorityCheung, VYT=rp01323en_US
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.4293/108680813X13693422521007en_US
dc.identifier.pmid24680147-
dc.identifier.pmcidPMC3939346-
dc.identifier.hkuros228320en_US
dc.identifier.volume18en_US
dc.identifier.issue1en_US
dc.identifier.spage71en_US
dc.identifier.epage75en_US
dc.identifier.isiWOS:000333804900013-
dc.publisher.placeUnited States-

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