Management of benign annexed masses by laparoscopy: unit of Gynecological Endoscopy of Hospital Lorencita Villegas de Santos, 1995-1999
DOI:
https://doi.org/10.18597/rcog.748Keywords:
laparoscopy, annexed massesAbstract
Introduction: The information currently shown in literature worldwide regarding the handling of benign annexed masses way laparoscopy, as opposed to laparotomy, enhances the benefits of laparoscopy in important issues such as cost, hospitalization and convalescence period.
Methodology: A descriptive, bi-directional study involving a series of cases was entered undertaken with 120 patients that were taken to laparoscopy surgery due to suspicious diagnosis of benign annexed mass at the Unit of Gynecological Endoscopy of Hospital Infantil Universitario Lorencita Villegas de Santos (Children's Hospital of Bogotá). Such study was done between November 1995 and March 1999. Both clinical and paraclinical variables were analyzed and correlated to histopathological results. Data was processed on Excel version 7.0, having obtained the percentages and standard deviations of each of the analyzed numerical variables.
Results: The main cause of consultation was the chronic pelvic pain shown by a 68.33%. With the group of patients studied there were no malignant cases and the most frequent histological type corresponded to parovarian cyst in 30.8%. The size range of ultrasonic masses was between 4.73 cm +/- 1.37 and 5.47 +/- 1.29. Results of Ca 125 were abnormal within 40% of endometriomas, 12.5% of mature cystic teratomas and 22.2% of the group classified as "others". There were no intra-surgery or post-surgery complications.
Discussion: This study's adequate pre-surgical and intra-surgical evaluation of annexed masses allowed all cases to be practiced surgery with a high presumption of benignity, results corroborated by the final pathology. Laparoscopy is a safe way to address benign-suggestive annexed masses.
Author Biographies
Camilo Rueda Beltz
Felipe Arbeláez Casas
Ángela María Ruiz Sternberg
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