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Laparoscopic adnexectomy in postmenopausal women
1Department of Obstetrics and Gynecology, State University of New York, Stony Brook.
The Journal of Reproductive Medicine
|March 1, 1992
Summary
Laparoscopic adnexectomy effectively manages postmenopausal palpable ovaries and pelvic masses, with most patients experiencing a swift recovery. This minimally invasive approach is well-tolerated, allowing a rapid return to normal activities.
Area of Science:
- Gynecologic Oncology
- Minimally Invasive Surgery
Background:
- Postmenopausal palpable ovaries and pelvic masses necessitate histologic examination to rule out ovarian cancer.
- However, most of these findings are benign, leading to unnecessary invasive procedures.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic adnexectomy for managing postmenopausal palpable ovaries and pelvic masses.
Main Methods:
- A retrospective analysis of 44 postmenopausal patients who underwent laparoscopic adnexectomy for palpable adnexal masses.
- Data collected included operative time, blood loss, length of stay, and patient recovery.
Main Results:
- Laparoscopic adnexectomy was successful in 95.4% (42/44) of patients.
- Average operating time was 115.8 minutes, with 90.9% (40/44) discharged same-day.
- Blood loss was minimal (≤50 mL) in 86.4% (38/44) of patients.
Conclusions:
- Laparoscopic adnexectomy is a safe and effective minimally invasive surgical option for postmenopausal palpable ovaries and pelvic masses.
- The procedure offers rapid recovery and a quick return to normal activities, with a high success rate and low complication profile.