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Related Experiment Videos

Ovarian surgery in pregnancy.

L M Hill, C E Johnson, R A Lee

    American Journal of Obstetrics and Gynecology
    |July 1, 1975
    PubMed
    Summary

    Ovarian disease during pregnancy is rare, occurring in 1 in 536 deliveries. Simple ovarian cysts were most common, and surgery had a 16% spontaneous abortion rate, unaffected by progestational agents.

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    Area of Science:

    • Obstetrics and Gynecology
    • Reproductive Medicine
    • Surgical Oncology

    Background:

    • Ovarian diseases during pregnancy present unique clinical challenges.
    • Accurate incidence data and management outcomes are crucial for patient care.
    • Previous studies have varied in reporting surgical outcomes and abortion rates.

    Purpose of the Study:

    • To determine the incidence of operable ovarian disease during pregnancy.
    • To analyze the types of ovarian lesions encountered.
    • To evaluate the spontaneous abortion rate following surgical intervention for ovarian disease in pregnancy.

    Main Methods:

    • Retrospective case series analysis of 57 patients with ovarian disease during pregnancy.
    • Data collected over a 17-year period (1955-1971) in Rochester, Minnesota.
    • Inclusion criteria focused on operable ovarian disease and pregnancy status.

    Main Results:

    • The incidence of operable ovarian disease in pregnancy was 1 in 536 deliveries.
    • Simple ovarian cysts constituted the majority of cases (38/57).
    • The overall spontaneous abortion rate after surgery was 16% (8/51 patients).

    Conclusions:

    • Operable ovarian disease in pregnancy is uncommon, with simple cysts being the most frequent diagnosis.
    • Surgical management of ovarian disease during pregnancy is associated with a significant spontaneous abortion risk.
    • Progestational agents did not demonstrate a significant impact on reducing the abortion rate post-surgery.

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