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Management of adnexal masses by operative laparoscopy
B van Herendael1, P Beretta, T Slangen
1Jan Palfijn General Hospital, Department of Obstetrics and Gynecology, Merksem Antwerp, Belgium.
Study Objective:
To assess the efficacy of operative laparoscopy to confirm the diagnosis of benign adnexal masses, and treat the lesions.
Design:
Consecutive patients evaluated for this indication between January 1989 and December 1993, who met the inclusion criteria.
Setting:
The Jan Palfijn General Hospital, Antwerp, Belgium, and the Department of Obstetrics and Gynecology, University of Varese, Varese, Italy.
Patients:
One hundred twenty-one women with a clinical, biochemical, and ultrasound diagnosis of benign adnexal mass.
Interventions:
Operative videolaparoscopy was carried out in all patients using the carbon dioxide or argon laser, electrical, or mechanical means.
Measurements And Main Results:
Depending on the patient's age and the appearance of the adnexal mass aspirate, biopsy, cystectomy, or adnexectomy was performed. The conversion rate to laparotomy was 2.4%. A pathologic diagnosis was made in all cases. In this series no malignancy was encountered.
Conclusion:
Operative laparoscopy is safe and effective for treating adnexal masses provided that the preoperative diagnosis indicates that the lesions are benign.