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Laparoscopic management of adnexal mass during pregnancy
Background:
To assess the use of laparoscopy in the management of persistent adnexal mass during the second trimester of pregnancy.
Subjects:
Six consecutive pregnant women undergoing laparoscopic surgery for persistent adnexal masses in the second trimester.
Results:
Laparoscopic removal of an adnexal mass was successfully performed in all patients. The median operating time was 37.5 minutes. There were no intra- and post-operative complications. Tocolytic therapy was not required and no patients developed uterine contractions. All patients delivered normal infants vaginally at term without complications.
Conclusion:
With attention to the surgical technique, laparoscopic removal of persistent adnexal mass during the second trimester of pregnancy is safe and carries the same benefits over laparotomy as in non-pregnant women.
