LAPAROSCOPIC MANAGEMENT OF BENIGN ADNEXAL MASSES

Abstract

Objective: to assess the effectiveness of laparoscopic management of adnexal masses suspected to be benign on pre-operative evaluation. Material and method: all women with 2018 to December 2018 were included in the study. Results: 32 women with adnexal mass presumed to be benign were taken up for laparoscopy. Diagnosis in 34.4% cases was endometriosis, 25% simple ovarian cyst,12.5% hydroslapinx, 9.4% dermoid cyst, 6.3% paraovarian cyst, 3.1% tubo-ovarian abscess, 3.1% TO mass, 3.1% tubal ectopic pregnancy and 3.1% PCOS. Most commonly performed surgery was cystectomy (53.1% cases). Other procedures included deroofing and fulguration(15.6%), cuff salpingostomy (12.5%), aspiration (6.3%), salpingectomy (3.1%), salpingo-oopherectomy (3.1%) and ovariectomy (3.1%). Conclusions: laparoscopy is safe procedure and can be used in managing patients with benign adnexal masses. Proper selection of cases is important and can be achieved by ultrasonography, CA-125, CT scan and MRI.