[Laparoscopic management of ovarian masses during pregnancy].
BACKGROUND
The diagnosis of an adnexal mass associated with pregnancy is increasingly common with the routine use of ultrasound during prenatal care.


OBJECTIVE
To assess the feasibility, advantages and limiting factors of laparoscopy in the management of ovarian masses during pregnancy.


METHODS
Rretrospective study of a series of 34 pregnant women operated by laparoscopy for adnexal masses during a period of 14 years.


RESULTS
The mean age of patients was 29 years. Fifty percent of patients were nulliparous. In 62% of cases, patients were asymptomatic. Laparoscopy was performed at a mean gestational age of 15 weeks. Open laparoscopy was performed in 58.8% of cases. Intraperitoneal cystectomy was performed in 28 cases (72%). In two cases (5 %), it was a borderline ovarian tumor requiring further surgery outside of pregnancy. Fetal loss was noted at a term of 16 weeks.


CONCLUSIONS
Laparoscopic management of adnexal masses during pregnancy appears to be safe and reproducible procedure with few maternal and fetal complications.
Monia
M
Malek-mellouli
Najeh
N
Taamallah
Fethi
F
Ben Amara
Hédi
H
Reziga
D000328:Adult; D003536:Cystadenocarcinoma / Q000601:surgery; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D010048:Ovarian Cysts / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000601:surgery; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000601:surgery*; D011256:Pregnancy Outcome / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult