Korean J Obstet Gynecol.  2004 Jun;47(6):1080-1085.

Surgical Management of Adnexal Masses in Pregnancy: Laparoscopy Versus Laparotomy

• Woo HJ
• Kim SH
• Lee IH
• Baek JK
• Kim MR
• Kim JM
• Choi KH
• Yang JH

Abstract

OBJECTIVE
To determine the feasibility, safety, advantages and limitations of laparoscopic management of adnexal masses in pregnancy by comparing with laparotomy.
METHODS
Between Jan 2001 to Jan 2003, 36 laparoscopic procedures and 15 laparotomy procedures were performed in 51 patients with adnexal masses in pregnancy. Operation time, hospital stay, pathologic findings, complications and pregnancy outcome were analyzed in these patients.
RESULTS
Most common pathologic finding was mature cystic teratoma (45%) and malignancy of adnexal tumors were 3 cases (5.9%). There were no differences in size of adnexal tumor, operation time, hemoglobin level change after operation, gestational age at delivery, birth weight, Apgar score, preterm delivery and fetal anomaly between the two groups. Hospital stays was shorter and gestational age at operation was earlier in laparoscopy than explolaparotomy.
CONCLUSION
Laparoscopic management of adnexal masses in pregnancy is safe and effective procedure.

Keyword

Adnexal masses; Pregnancy; Laparoscopy; Laparotomy

MeSH Terms

Apgar Score
Birth Weight
Female
Gestational Age
Humans
Laparoscopy*
Laparotomy*
Length of Stay
Pregnancy Outcome
Pregnancy*
Teratoma