Abstract
borderline or cancer on histology, these women were deemed to have had unnecessary laparoscopic surgery. Results: 73 women were diagnosed with a total of 86 ovarian cysts. 66/73 (90.4%) women were selected for laparoscopy and 7 (9.6%) were selected for laparotomy. Two women who had benign ovarian cysts on TVS were found to have borderline on histopathology. On histological examination, 70 (81.4%) ovarian cysts were benign; 16 (18.6%) ovarian cysts were borderline/malignant ovarian cysts. The operation was successfully completed laparoscopically in 63/66 (95.5%) cases. The pre-operative TVS assessment predicted the successful outcome of advanced laparoscopic surgery with a sensitivity of 98.4%, specificity of 66.7%, PPV 95.5% and NPV 85.7%. Conclusions: Although the numbers are very small, a detailed preoperative TVS is essential in planning and predicting the feasibility of advanced laparoscopic surgery in women with adnexal lesions.
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