Transvaginal Ovarian Cyst Drainage in Third Trimester to Facilitate Vaginal Delivery.

Autor:	Meljen VT; Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina.; Department of Obstetrics and Gynecology, Washington State University Elson S. Floyd School of Medicine, Spokane, Washington., Avram CM; Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina., Kerner NP; Division of Women and Community Population Health, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina., Rhee EHJ; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina., Kuller JA; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina., Wheeler SM; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Duke University Health System, Durham, North Carolina.
Jazyk:	angličtina
Zdroj:	AJP reports [AJP Rep] 2023 Nov 28; Vol. 13 (4), pp. e82-e84. Date of Electronic Publication: 2023 Nov 28 (Print Publication: 2023).
DOI:	10.1055/a-2184-0548
Abstrakt:	Adnexal masses in the third trimester of pregnancy may obstruct the pelvic outlet precluding labor induction and vaginal delivery. Expectant versus surgical management of adnexal cysts in pregnancy must carefully weigh maternal-fetal benefits and risks. Simple benign appearing cysts with low likelihood of malignancy may be amenable to percutaneous drainage as a bridge to interval postpartum laparoscopic cystectomy. We demonstrated posterior culdocentesis as a safe, minimally invasive technique to decompress a simple benign appearing left adnexal cyst obstructing the pelvic outlet in the third trimester at the time of labor induction to facilitate vaginal delivery and prevent primary cesarean delivery. Detailed sonographic cyst evaluation and counseling on underlying risk of malignancy must be considered to guide shared decision-making. Competing Interests: Conflict of Interest None declared. (The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze:	MEDLINE
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