The using of emergency laparoscopic surgery in management of benign ovarial neoplasm

S. N. Gaidukov; Гайдуков С. Н.; T. Y. Zhemchuzhuzhina; Жемчужина Т. Ю.; Е. I. Kahyany; Кахиани Е. И.; А. N. Tayts; Тайц А. Н.

doi:10.17816/JOWD87393

The using of emergency laparoscopic surgery in management of benign ovarial neoplasm

Authors: Gaidukov S.N.¹, Zhemchuzhuzhina T.Y.², Kahyany Е.I.¹^,3, Tayts А.N.¹
Affiliations:
1. Saint-Petersburg State Pediatric Medical Academy
2. Elizabethan Hospital
3. City Center for Endovideosurgery of the Elizabethan Hospital
Issue: Vol 54, No 5S (2005)
Pages: 50-50
Section: Reviews
URL: https://journals.eco-vector.com/jowd/article/view/87393
DOI: https://doi.org/10.17816/JOWD87393
ID: 87393

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Abstract

Introduction. 67 patients admitted during 2004 year with the urgent surgical diagnosis (complication of benign neoplasm) were operated with using of laparoscopic surgery.

Keywords

emergency endovideosurgery, benign ovarian neoplasms, benign ovarian tumor, adnexectomy

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Introduction. 67 patients admitted during 2004 year with the urgent surgical diagnosis (complication of benign neoplasm) were operated with using of laparoscopic surgery.

Material and methods. On the basis of morphologic and functional structure of diagnosed pathology all patients were put into two groups. The Ist group comprised the patents with verified diagnosis of the benign ovarial neoplasm (n=28). Most often we found serous cystadenomas - 64,3%, papillary cystadenomas - 21,4%, and mature teratomas - 14,3%. Most often benign ovarial neoplasms were identified in women older then 40 years and every 10th of them had had menopause for 4-8 years. The mean age of patient in the Ist group was 41,4 ±1,2 years. The IId group comprised 39 patients with tumor-like formations. Morphologic patterns were: corpus luteum cysts - 53,9%, follicular cysts - 23,1%, endometrial cysts - 15,3%, paraovarial cysts - 7,7%. The mean age of patient in the IId group was 26,5 ± 1,4 years.

Results. Depending on the extension of the performed surgical operations in the Ist group we had hemi-ovariectomy - about 40%, cystectomy - in every fifth case; ovariectomy with complete removal of another ovary - 16,2%. In the IId group laparoscopic surgical operations were directed to preservation of organs - in 75% of cases cystectomy only were performed. Complete excision of ovary was performed only in every 5th case.

Conclusions. So, high potential of laparoscopic surgery in preservation of reproductive organs allows us to consider this method to be the best option in management of benign ovarial neoplasms in women of reproductive age.