Surgical management of benign ovarian tumors in pregnancy


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Abstract

Aim. To improve diagnosis and treatment outcomes of benign ovarian tumors (BOT) in pregnancy. Materials and methods. The study comprised 62 pregnant patients who underwent laparoscopic (n = 47) and laparotomic (n = 15) surgery for BOT. A between-group comparative analysis of clinical data was conducted. Results. Morphological types of BOT included teratoma (6/17), mucinous cystadenoma (1/17), simple serous cyst (5/17), follicular cyst (3/17), and endometriosis (2/17). The study findings showed a significant increase in the size of BOTs during pregnancy (p = 0.0003). Laparoscopic access was associated with less blood loss (p = 0.0003) and pain (p = 0.001), which helped avoid postoperative narcotic analgesics; hospital stay was shorter (p = 0.04). Conclusion. Early diagnosis and treatment of BOT allow prolongation of pregnancy to the full-term birth with the prevention of pregnancy complications.

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About the authors

S. V Barinov

Omsk State Medical University of Minzdrav of Russia

Email: barinov_omsk@mail.ru

I. A Gachkailo

Omsk State Medical University of Minzdrav of Russia

Email: vanes_00@mail.ru

O. V Lazareva

Omsk State Medical University of Minzdrav of Russia

Email: lazow@mail.ru

L. L Shkabarnya

Omsk Regional Clinical Hospital

Email: l_shka@mail.ru

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