Pelviscopic Therapy of Adnexal Tumors
Minimally invasive surgery after careful presurgical screening represents an accepted method of treatment for adnexal masses. Between 1990 and 1994, 1032 adnexal tumors were treated by ovarian cystectomy, ovarectomy, adnexectomy, and salpingectomy via pelviscopy. Ten borderline cancers were managed by placing the ovaries into tissue collection bags. In four cases of a preoperatively undetected ovarian cancer, the surgical procedure was changed to laparotomy. Compared with 325 laparotomies performed for ovarian malignancy in the same period of time, the surgical advantages of pelviscopy become evident.
Mettler
L
Department of Obstetrics & Gynecology, University of Kiel, Michaelisstr. 16, 24105 Kiel, Germany.