Laparoscopic management of adnexal masses the opportunities and the risks

Tanja Pejovic, Farr Nezhat

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Suspected ovarian neoplasm is a common clinical problem affecting women of all ages. Although the majority of adnexal masses are benign, the primary goal of diagnostic evaluation is the exclusion of malignancy. It has been estimated that approximately 5-10% of women in the United States will undergo a surgical procedure for a suspected ovarian neoplasm during their lifetime. Despite the magnitude of the problem, there is still considerable disagreement regarding the optimal surgical management of these lesions. Traditional management has relied on laparotomy to avoid undertreatment of a potentially malignant process. Advances in detection, diagnosis, and minimally invasive surgical techniques make it necessary now to review this practice in an effort to avoid unnecessary morbidity among patients. Here, we review the literature on the laparosopic approach to the treatment of the adnexal mass without sacrificing the principles of oncologic surgery. We highlight potentials of minimally invasive surgery and address the risks associated with the laparoscopic approach.

Original languageEnglish (US)
Pages (from-to)255-268
Number of pages14
JournalAnnals of the New York Academy of Sciences
Volume943
DOIs
StatePublished - Jan 1 2001

Keywords

  • Adnexal masses
  • Laparotomy
  • Ovarian neoplasm

ASJC Scopus subject areas

  • Neuroscience(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • History and Philosophy of Science

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