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A 10-year experience of laparoscopic surgery for adnexal masses during pregnancy.
MedLine Citation:
PMID:  21247562     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To assess the clinicopathologic outcomes of laparoscopic surgery for adnexal masses during pregnancy. METHODS: In a retrospective study, the medical records of 88 patients who underwent laparoscopic surgery for adnexal masses during pregnancy between 2000 and 2009 were reviewed. RESULTS: The mean age of the study population was 30.1years (range 21-40years), and the mean gestational age at surgery was 11.6weeks (4.6-23.6weeks). The mean diameter of the mass on sonography was 7.5cm (1.8-18cm). Pathologically, the most common tumor was a mature cystic teratoma (35.2%), and the prevalence of malignancy was 6.8%. Emergency surgery due to torsion was performed in 28 patients (31.8%). Two spontaneous abortions occurred, both after emergency surgery. The frequency of obstetric complications, such as low birth weight, preterm delivery, use of tocolytics for preterm labor, low Apgar score, and fetal anomaly, was acceptable. CONCLUSION: Laparoscopic surgery for adnexal masses during pregnancy provided tolerable outcomes for the fetus and the mother. In the future, larger prospective clinical trials are necessary to elucidate fully the impact on the fetus.
Authors:
Yu-Jin Koo; Ji-Eun Lee; Kyung-Taek Lim; Jae-Uk Shim; Jung-Eun Mok; Tae-Jin Kim
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-17
Journal Detail:
Title:  International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics     Volume:  -     ISSN:  1879-3479     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0210174     Medline TA:  Int J Gynaecol Obstet     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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