Laparoscopic versus Laparotomic Management of Adnexal Tumor before Week 18 of Pregnancy.

Hwang, Ho Myong; Lee, Chang Ho; Tae, Cheol Min; Oh, Byung Chan; Cho, Sung Nam; Jeong, Young Ju; Kim, Jong Duk; Kim, Kwan Sik

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Original Article

Korean Journal of Obstetrics & Gynecology 2004;47(9):1719-1724.
Published online September 1, 2004.

Laparoscopic versus Laparotomic Management of Adnexal Tumor before Week 18 of Pregnancy.

Ho Myong Hwang, Chang Ho Lee, Cheol Min Tae, Byung Chan Oh, Sung Nam Cho, Young Ju Jeong, Jong Duk Kim, Kwan Sik Kim

Department of Obstetrics and Gynecology, Clinical Research Institute, College of Medicine, Chonbuk National University, Chonju, Korea.

Abstract

OBJECTIVE
To evaluate the safety and benefit of laparoscopic surgery compared with laparotomy for the management of adnexal tumor during pregnancy. METHODS: We reviewed 54 cases of adnexal tumor during pregnancy which were managed surgically at Chonbuk National University Hospital between January 1996 and July 2002. Laparoscopy was performed in 17 patients. The remaining 37 patients had laparotomy. The medical records were reviewed retrospectively to confirm variable factors, such as gestational age, operating time, surgical methods, pathologic results, and pregnancy outcomes and complications. RESULTS: Mean gestational age at surgery was significantly different between two groups (85.2 vs 103.0 days). Operating time was not significantly different between two groups. Hospital stay (4.6 vs 7.0 days) was significantly shorter in the laparoscopy group than laparotomy group. No operative or postoperative maternal complications occured in the pregnant women who had laparoscopic surgery. Five preterm deliveries and one intrauterine fetal death occured in the laparotomy group. CONCLUSION: Comparing with laparotomy, laparoscopic surgery allows a shorter hospital stay, a reduced rate of postoperative complications and a maternal and fetal morbidity compared. Laparoscopic surgery appears to be safe and effective during pregnancy.

Key Words: Laparoscopy, Laparotomy, Adnexal tumor, Pregnancy

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