Laparoscopic Treatment of 1522 Adnexal Masses: An 8-Year Experience
| Autor: | P. Economides, Grammatikakis I, N Evangelinakis, C. Mavrelos, Pantelis Trompoukis, Dimitrios Kassanos, Stefanos Zervoudis, V. Tziortzioti |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty lcsh:Medical technology medicine.diagnostic_test Article Subject business.industry medicine.medical_treatment Endometriosis Ovary medicine.disease Serous Cystadenoma Malignancy Surgery medicine.anatomical_structure lcsh:R855-855.5 Laparotomy medicine Clinical Study Radiology Nuclear Medicine and imaging Laparoscopy business Hydrosalpinx |
| Zdroj: | Diagnostic and Therapeutic Endoscopy Diagnostic and Therapeutic Endoscopy, Vol 2015 (2015) |
| ISSN: | 1070-3608 |
| DOI: | 10.1155/2015/979162 |
| Popis: | Objective. To reevaluate the long-term effectiveness and safety of laparoscopy in benign ovarian pathology.Materials and Methods. 1522 women with benign adnexal cysts, laparoscopically treated in the 3rd Department of Ob/Gyn, General University hospital “Attikon” and “Lito” Maternity Hospital between July 1998 and December 2006, were included.Results. The diagnosis in 1222 (80,6%) cases was endometriosis of the ovary, 60 (4%) hydrosalpinx, 51 (3,3%) serous cystadenomas, 44 (2,9%) dermoid ovarian cyst, 38 (2,5%) borderline tumors, 35 (2,3%) unruptured follicles, and 33 (2,2%) paraovarian cysts. In 174 cases (11,5%) laparoscopy was converted to laparotomy due to technical difficulties or suspicion of cancer. In particular, laparotomy was performed in 119 (8%) women due to severe adhesions and 18 (1,2%) women due to bleeding that could not be controlled safely by laparoscopy. In 36 (2,4%) women frozen section during operation revealed malignancy and laparoscopy was converted to laparotomy. A few operative complications were recorded like post-op fever, small hematomas at the trocar entries.Conclusions. Laparoscopic surgery seems to offer significant advantages such as reduced hospital stay, less adverse effects, better quality of life, and superior vision especially on surgical treatment of cases like endometriosis. |
| Databáze: | OpenAIRE |
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