Korean J Obstet Gynecol.
2002 May;45(5):790-794.
Surgical Management of Ovarian tumors in Pregnancy: Laparoscopy versus Laparotomy
- Affiliations
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- 1Department of Obstetrics and Gynecology, College of Medicine, Chungnam National University, Daejeon, Korea.
Abstract
OBJECTIVE
To evaluate the benefits of laparoscopic surgery compare with laparotomy in the surgical management of adnexal tumors during pregnancy.
METHODS
Operating time, hospital stays, complications and pregnancy outcome were analyzed in 18 patients who underwent laparoscopic surgery and 30 patients who underwent laparotomy due to adnexal tumors discovered during pregnancy at Chungnam National University Hospital from January 1993 to June 2000.
RESULTS
Mean age of the patients was 27.1 years and mean gestational age was not significantly different between the two groups. Tumor size was larger in laparotomy group (8.4 vs 6.4 cm in diameter). Unilateral salpingo-oophorectomy was most common operative procedures and cystic teratoma was most common histologic findings in both groups. Operating time was not significantly different between the two groups. Blood loss (43.2 vs 18.3 mL) and hospital stay (7.1 vs 5.7 days) was significantly less in laparscopy group.
CONCLUSIONS
Laparoscopic surgery may be an effective treatment of adnexal tumors during pregnancy.
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