title: Management of massive ovarian tumors.
abstract: Two patients with massive ovarian tumors, one with a 51 kilogram Stage IC mucinous cystadenocarcinoma and the other with a 34 kilogram mucinous cystadenoma, are presented. Problems associated with resection of massive ovarian tumors, including respiratory failure, intraoperative fluid shifts, adequate exposure, orthostatic hypotension and adynamic intestine, are identified. Guidelines for avoiding these pitfalls by the use of appropriate monitoring, controlled drainage of the cyst and transverse elliptic incision with abdominoplasty are suggested.
authors.affiliation: Department of Obstetrics and Gynecology, Kaiser Permanente Medical Center, San Diego, California.
authors.forename: R G
authors.initials: RG
authors.lastname: Pretorius
authors.forename: W E
authors.initials: WE
authors.lastname: Matory
authors.forename: D
authors.initials: D
authors.lastname: LaFontaine
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D002288:Adenocarcinoma, Mucinous / Q000473:pathology / Q000601:surgery*; D000328:Adult; D003536:Cystadenocarcinoma / Q000473:pathology / Q000601:surgery*; D003537:Cystadenoma / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D005260:Female; D006801:Humans; D007024:Hypotension, Orthostatic / Q000209:etiology; D007813:Laparotomy; D008722:Methods; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D012131:Respiratory Insufficiency / Q000209:etiology