Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy

Fertil Steril. 2009 Jul;92(1):283-7. doi: 10.1016/j.fertnstert.2008.04.035. Epub 2008 Aug 9.

Abstract

Objective: To describe our experiences with laparoscopic management of complicated adnexal masses in the first trimester of pregnancy.

Design: Retrospective clinical study.

Setting: A teaching hospital.

Patient(s): Eleven patients with singleton pregnancy who underwent laparoscopic operation for complicated benign adnexal mass during their first trimester.

Intervention(s): Laparoscopic surgery for complicated adnexal masses.

Main outcome measure(s): Technical feasibility and safety.

Result(s): All of the patients had an uneventful recovery. Pregnancy was continued to term in nine patients (81.1%). Two patients (18.2%) had ongoing pregnancy at the time of writing.

Conclusion(s): Operative laparoscopy for complicated adnexal masses performed during early pregnancy is safe and feasible.

MeSH terms

  • Adnexal Diseases / surgery*
  • Adult
  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Laparoscopy / methods*
  • Pregnancy
  • Pregnancy Complications / surgery*
  • Pregnancy Outcome
  • Pregnancy Trimester, First
  • Retrospective Studies
  • Treatment Outcome