A 10-year experience of laparoscopic surgery for adnexal masses during pregnancy.
OBJECTIVE
To assess the clinicopathologic outcomes of laparoscopic surgery for adnexal masses during pregnancy.


METHODS
In a retrospective study, the medical records of 88 patients who underwent laparoscopic surgery for adnexal masses during pregnancy between 2000 and 2009 were reviewed.


RESULTS
The mean age of the study population was 30.1 years (range 21-40 years), and the mean gestational age at surgery was 11.6 weeks (4.6-23.6 weeks). The mean diameter of the mass on sonography was 7.5 cm (1.8-18 cm). Pathologically, the most common tumor was a mature cystic teratoma (35.2%), and the prevalence of malignancy was 6.8%. Emergency surgery due to torsion was performed in 28 patients (31.8%). Two spontaneous abortions occurred, both after emergency surgery. The frequency of obstetric complications, such as low birth weight, preterm delivery, use of tocolytics for preterm labor, low Apgar score, and fetal anomaly, was acceptable.


CONCLUSIONS
Laparoscopic surgery for adnexal masses during pregnancy provided tolerable outcomes for the fetus and the mother. In the future, larger prospective clinical trials are necessary to elucidate fully the impact on the fetus.
Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Kwandong University College of Medicine, Seoul, Korea.
Yu-Jin
YJ
Koo
Ji-Eun
JE
Lee
Kyung-Taek
KT
Lim
Jae-Uk
JU
Shim
Jung-Eun
JE
Mok
Tae-Jin
TJ
Kim
D000291:Adnexal Diseases / Q000473:pathology / Q000601:surgery*; D000328:Adult; D005260:Female; D005865:Gestational Age; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology / Q000601:surgery*; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology / Q000601:surgery*; D011256:Pregnancy Outcome; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000150:complications / Q000601:surgery; D055815:Young Adult