Laparoscopy in the Management of Adnexal Masses

Description

Abstract (English)

Abstract
Background: Laparoscopic surgery has become the gold standard in the treatment of benign adnexal masses,
whereas laparotomy remains the standard for the treatment of malignant tumors.
Aims: To evaluate the safety and effectiveness of laparoscopy in the management of benign adnexal masses.
Materials and Methods: This is a Observational study, conducted on 30 patients admitted to department of
Obstetrics and Gynaecology, who were diagnosed with benign adnexal mass, confirmed with various blood
investigations and USG, MRI, were subjected to laparoscopic procedures. All the patients were followed up
with histopathology report.
Results: 30 patients with adnexal masses admitted for the treatment had been evaluated and who underwent
laparoscopy were included in the study. The mean age of the patients with adnexal masses in the study group
was 32.4 years. The commonest presenting complaint in the study was pain abdomen in 24 (80%) patients. 23
patients had significant abdominal findings of which 13 (43.34%) had tenderness in lower abdomen. Among the
study 21 patients were found to have mass felt in the fornix. In the present study 18 (69%) patients found to
have simple ovarian cysts on ultrasonography. The marker CA-125 mean was 15.14 U/ML. The most common
operative procedure done was ovarian cystectomy in 19 (63.34%) patients. The mean estimated blood loss in
our study was 105ml. The mean ambulation time of the patients was within 6.4 hours. The mean time among the
patients to oral feeds was within 7.23 hours. The mean length of the stay in the hospital was 8.13 days in the
study population.
Conclusion: Proper selection of cases, multidisciplinary team approach, expert laparoscopic surgical skills and
good histopathological reporting are imperative for best patient outcomes.