title: Laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy.
abstract: OBJECTIVE
  To evaluate the feasibility and safety of laparoscopic surgery for treating adnexal masses during the first trimester of pregnancy.
  
  
  METHODS
  An observational study of a prospective collection of data of all pregnant women who underwent laparoscopic surgery for adnexal masses during the first trimester of pregnancy between January 1999 and November 2012 at the Obstetrics and Gynecology Department of the Italian Hospital of Buenos Aires, Buenos Aires, Argentina was performed.
  
  
  RESULTS
  A total of 13 women were included. The median (range) gestational age at the moment of surgical procedure was 7 weeks (range: 5-12 weeks). The main indication of surgery was cyst torsion in four cases (30.7%) and rupture of ovarian cysts in four cases (30.7%). Other indications included persistent ovarian cyst in three patients (23%) and heterotopic pregnancy in two cases (15.3%). Neither surgical complications nor spontaneous abortions occurred in any of the cases and the post-operative period was uneventful in all the cases. No cases of intrauterine growth retardation, preterm delivery, congenital defects, or neonatal complications were registered.
  
  
  CONCLUSIONS
  The treatment of complicated adnexal masses by laparoscopic surgery during the first trimester of pregnancy appears to be a safe procedure both for the mother and for the foetus. Additional research on a larger number of cases is still needed to support these conclusions.
authors.affiliation: Department of Gynecology, Valencian Institute of Oncology (IVO), Valencia, Spain.
authors.forename: Lucas
authors.initials: L
authors.lastname: Minig
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Lucas
authors.initials: L
authors.lastname: Otaño
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Pilar
authors.initials: P
authors.lastname: Cruz
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: María Guadalupe
authors.initials: MG
authors.lastname: Patrono
authors.affiliation: Department of Obstetrics and Gynecology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
authors.forename: Cecilia
authors.initials: C
authors.lastname: Botazzi
authors.affiliation: Department of Obstetrics and Gynecology, La Paz University Hospital, Madrid, Spain.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Zapardiel
keywords: Adnexal masses; first trimester; laparoscopy; ovarian cyst; pregnancy