Document Detail


Salpingo-oophorectomy for adnexal masses. Place and results for operative laparoscopy.
MedLine Citation:
PMID:  9175688     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: The aim of the study is to specify the place, modalities and results of operative laparoscopy when adnexectomy is indicated in a patient presenting with an adnexal mass. STUDY DESIGN: A retrospective analysis of the 186 patients who underwent adnexectomy for an adnexal mass between January 1, 1989 and December 31, 1994. RESULTS: The operation took place via laparotomy in 34.9% of cases (65 patients) and by laparoscopic surgery in 65.1% of cases (121 patients). All the patients presenting a malignant ovarian lesion (15 cases) were operated by laparotomy. For these patients the laparotomy was decided from the outset in 7 cases and there was a conversion to laparotomy decided during the diagnostic phase of laparoscopy in 8 cases. The preoperative workup (clinical examination, study of past history, trans vaginal ultrasonography, doppler, tumoral markers etc.) together with the diagnostic phase of laparoscopy provide 100% sensitivity, a positive predictive value of 50% and a negative predictive value of 100% for diagnosis of malignancy. CONCLUSION: These results demonstrate that provided a strict selection system is used, it is possible to carry out adnexectomy using laparoscopic surgery in 70.8% of cases (121/171) for patients with benign adnexal mass.
Authors:
C Chapron; J B Dubuisson; S Capella-Allouc
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Publication Detail:
Type:  Clinical Trial; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  73     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  1997 May 
Date Detail:
Created Date:  1997-07-22     Completed Date:  1997-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  43-8     Citation Subset:  IM    
Affiliation:
Service de chirurgie Gyncologique, Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adnexa Uteri / surgery
Adnexal Diseases / surgery*
Adolescent
Adult
Aged
Aged, 80 and over
Fallopian Tubes / surgery*
Female
Humans
Laparoscopy*
Laparotomy
Middle Aged
Ovariectomy / methods*
Predictive Value of Tests
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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