title: Salpingo-oophorectomy for adnexal masses. Place and results for operative laparoscopy.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.affiliation: Service de chirurgie Gyncologique, Clinique Universitaire Baudelocque, C.H.U. Cochin Port-Royal, Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Chapron
authors.forename: J B
authors.initials: JB
authors.lastname: Dubuisson
authors.forename: S
authors.initials: S
authors.lastname: Capella-Allouc
mesh_terms: D000290:Adnexa Uteri / Q000601:surgery; D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008875:Middle Aged; D010052:Ovariectomy / Q000379:methods*; D011237:Predictive Value of Tests; D012189:Retrospective Studies