| Autor: |
Manu, Andrei, Coroleucă, C. B., Coroleucă, C. A., Comandașu, D., Mihai, D., Mitran, M., Brătilă, E. |
| Předmět: |
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| Zdroj: |
Journal of Surgical Sciences; Jul-Sep2018, Vol. 5 Issue 3, p179-185, 7p |
| Abstrakt: |
The purpose of this paper is to present the therapeutic conduct regarding the diagnosis, prognosis and management (surgical or conservatory) of the ovarian masses during pregnancy. In this paper we will present the imagistic ways of diagnosis and the surgical therapeutic options (laparotomy, laparoscopy, robotic surgery) according to the characteristic of masses. We included 19 articles that researched the therapeutic conduct of ovarian masses during pregnancy. Transvaginal ultrasound is the first-line method of choice in the differential diagnosis of the ovarian masses. Evaluation of the ovarian masses during pregnancy must be done by a trained operator in order to choose the optimal therapeutic conduct. In the case of ovarian tumors with ultrasound benign ultrasound characteristics it is recommended the use of a therapeutic conservatory approach. The therapeutic conduct should be adapted individually for each patient. Decision criteria for the surgical approach (laparotomy or laparoscopy) must consider the measurements of the mass, the gestational age, ultrasound characteristics and surgical experience. The multidisciplinary approach is recommended in the management of this patients especially when there is a malignancy suspicion. The advantages of robotic surgery in these situations are represented by the high quality imaging, reduced uterine manipulation, precise dissection and a low rate of conversion to laparotomy. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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