Pelviscopic surgery in women over 40.
One hundred seventy women who underwent operative laparoscopy over 67 months were evaluated. Forty-four were over 40 years old; their ages ranged up to 68, and their mean age was 45. The operations varied from simple pelviscopic lysis of adhesions to bilateral oophorectomy; 18 patients had the latter. A protocol involving CA-125 and ultrasound was introduced to decrease the risk of affecting the prognosis of potentially malignant ovarian tumors. A technique was developed that may answer possible criticisms of the endoscopic approach to surgery in women who are past childbearing.
Levine
R L
RL
Department of Obstetrics and Gynecology, University of Louisville, Kentucky.
D000328:Adult; D000367:Age Factors; D000368:Aged; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000191:economics; D007902:Length of Stay; D008875:Middle Aged