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Korean Journal of Obstetrics & Gynecology 2004;47(6):1080-1085.
Published online June 1, 2004.
Surgical Management of Adnexal Masses in Pregnancy: Laparoscopy Versus Laparotomy.
Hyuk Jun Woo, Sun Hee Kim, In Ho Lee, Jun Kil Baek, Mi Ra Kim, Joo Myung Kim, Kue Hong Choi, Jae Hyug Yang
Department of Obstetrics and Gynecology, Samsung Cheil Hospital and Women's Healthcare Center, Sungkyunkwan University, School of Medicine, Seoul, Korea.
Abstract
OBJECTIVE
To determine the feasibility, safety, advantages and limitations of laparoscopic management of adnexal masses in pregnancy by comparing with laparotomy. METHODS: Between Jan 2001 to Jan 2003, 36 laparoscopic procedures and 15 laparotomy procedures were performed in 51 patients with adnexal masses in pregnancy. Operation time, hospital stay, pathologic findings, complications and pregnancy outcome were analyzed in these patients. RESULTS: Most common pathologic finding was mature cystic teratoma (45%) and malignancy of adnexal tumors were 3 cases (5.9%). There were no differences in size of adnexal tumor, operation time, hemoglobin level change after operation, gestational age at delivery, birth weight, Apgar score, preterm delivery and fetal anomaly between the two groups. Hospital stays was shorter and gestational age at operation was earlier in laparoscopy than explolaparotomy. CONCLUSION: Laparoscopic management of adnexal masses in pregnancy is safe and effective procedure.
Key Words: Adnexal masses, Pregnancy, Laparoscopy, Laparotomy


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