title: Minimally Invasive Adnexal Mass Extraction: Considerations and Techniques (With Videos).
abstract: Adnexal masses are a common indication for surgery in the United States. This article reviews the clinical features that may suggest an underlying malignancy, including ultrasound and biomarkers. The decision regarding how to remove an adnexal mass involves consideration of several factors, including body habitus, intra-abdominal anatomy, concomitant procedures planned, characteristics of the adnexal mass, and concern for underlying malignancy. Minimally invasive techniques for removal of adnexal masses are discussed in detail, with a review of the risk of an unexpected underlying malignancy.
authors.affiliation: Department of Obstetrics & Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Teresa M
authors.initials: TM
authors.lastname: Walsh
authors.affiliation: Department of Obstetrics & Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas.
authors.forename: Miranda G
authors.initials: MG
authors.lastname: McMillin
authors.affiliation: Department of Obstetrics & Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas. Electronic address: Kimberly.Kho@utsouthwestern.edu.
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: Kho
mesh_terms: D034841:Abdominal Cavity / Q000473:pathology; D000291:Adnexal Diseases / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D055088:Early Detection of Cancer / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000601:surgery; D014463:Ultrasonography; D020535:Video-Assisted Surgery / Q000379:methods*
keywords: Adnexal mass; Colpotomy; Laparoscopic extraction; Laparoscopic removal; Laparoscopy; Large adnexal masses; Tissue extraction