[The surgical treatment of ovarian formations by a laparoscopic approach]

This study was aimed at assessment of the efficacy of surgical treatment of bulky formations in the ovaries. Surgical laparoscopy for benign tumors and tumor-like processes in the ovaries was carried out in 548 patients. The operations were performed for benign tumors (17%), tumor-like formations (23%), endometrioid cysts (16%), polycystic ovaries (14%), gonadal dyskinesia (2%), and stable menstrual dysfunction (24%). The size of ovarian formations varied from 2 to 8 cm. Partial or clinoid resection of the ovaries, adnexectomy, oophorectomy, removal of the parovarian cyst, or extended biopsy of the ovaries were carried out. The results were good. No relapses were recorded. Blood loss was virtually null. The mean duration of an operation was 67.34 +/- 10.5 min. Follow-up of 6 months to 3 years revealed no adhesions in 34.2% cases and first-degree adhesions in 65.8%.