Perinatology.  2022 Jun;33(2):96-101. 10.14734/PN.2022.33.2.96.

Don’t Hesitate on Performing Laparoscopic Surgery for Ovarian Masses during Preg nancy: A Multidisciplinary Approach to Ovarian Masses Complicating Pregnancy

• Oh S
• Jo JH
• Hong S
• Ko HS
• Park IY
• Hwang H

• KMID: 2531064
• DOI: http://doi.org/10.14734/PN.2022.33.2.96

Abstract

Objective
This study demonstrates sonographic features of such ovarian masses and share treatment process for those that require surgery during pregnancy.
Methods
This retrospective study includes females diagnosed with ovarian masses during preg nancy at The Catholic University of Korea, Seoul St. Mary’s Hospital from 2009 to 2020. The study popula­tion was categorized into 2 groups depending on the need for surgery based on gestational age at the time of detection of ovarian masses, sonographic findings, and delivery outcomes. From the group that had surgery, outcomes were analysed according to the gestational age at surgery and the surgical indications.
Results
Of the 114 females with ovarian masses found during pregnancy, 49 (43.0%) underwent surgery during pregnancy, and 65 (57.0%) did not require surgery. Ovarian masses were found in the first trimester in 82 cases (71.9%). The risk factors for surgery were maternal age (odds ratio [OR], 0.84; 95% confidence interval [CI], 0.72-0.98), gestational age at the time of detection (OR, 0.85; 95% CI, 0.76-0.94), the size of the mass (OR, 1.06; 95% CI, 1.03-1.09), and ascites (OR, 18.09; 95% CI, 1.83-178.78). In females undergoing surgery during pregnancy, 45 (91.8%) had laparoscopic surgery, and 20 (40.8%) were treated surgically after 1st trimester. The most common cause of surgery was mass torsion (n=22, 44.9%).
Conclusion
The risk of ovarian surgery is higher during pregnancy when the mass is identified at an earlier gestational age, the masses are larger, or ascites is detected. Laparoscopic surgery is recom mended even after the first trimester.

Keyword

Ovarian mass; Pregnancy; Laparoscopy