Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Correa-Paris, Alejandro; Suárez-Salvador, Elena; Gomar Crespo, Antonia; Puig Puig, Oriol; Xercavins, Jordi; Gil-Moreno, Antonio

doi:10.1007/s10397-014-0851-7

Table 1 Case description and outcomes of laparoscopy using closed entry (Veress) technique for adnexal masses during pregnancy

From: Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Case	US findings^a	GE at surgery	Intervention	Entry site	Histopathologic Diagnosis	Complications	Outcomes
1	Complex mass^b, 56 mm	21⁺⁰	RSO + peritoneal biopsy	SubX	Serous micropapillary borderline tumor	No	VD, 40 weeks, 3,870 g
2	Complex mass^b, 175 mm	16⁺³	LSO + peritoneal biopsy	EpiG	Bilateral clear cell carcinoma	No	ABD, 34 weeks, 2,280 g
3	Simple cyst, 80 mm	16⁺¹	RSO	P	Mucinous cystadenoma	PROM + TPTL at 33⁺¹ weeks	VD, 33⁺⁵ weeks, 1,870 g
4	Teratoma, 102 mm	14⁺¹	LSO	P	Mature cystic teratoma	No	VD, 39⁺¹ weeks, 2,830 g
5	Teratoma, 60 mm	22⁺⁰	RSO	SubX	Mature cystic teratoma	No	CS, 39⁺⁴ weeks, 3,100 g
6	Complex mass^b, 48 mm	19⁺⁶	Bilateral cystectomy	EpiG	Bilateral serous cystadenoma	No	VD, 39 weeks
7	Simple cyst, 63 mm	8⁺⁴	Unilateral cystectomy	Umb	Endometriotic cyst	Chorioamnionitis, fetal demise	VD, 18⁺³ weeks, 170 g
8	Teratoma, 74 mm	20⁺¹	RSO	P	Mature cystic teratoma	No	VD, 39⁺¹ weeks, 3,300 g
9	Complex mass^b, 126 mm	13⁺⁵	RSO	P	Mucinous cystadenoma + torsion	No	CS, 40 weeks, 3,700 g
10	Ovarian torsion, 55 mm	11⁺³	LSO	Umb	Necrosis (torsion)	No	VD, 36 weeks, 3,100 g
11	Simple cyst, 100 mm	17⁺⁰	LSO	SU	Endometriotic cyst	No	VD, 38 weeks, 3,260 g
12	Heterotopic pregnancy, 65 mm	6⁺⁰	Cystectomy + detorsion	Umb	Corpus luteum	Miscarriage	Miscarriage
13	Adnexal torsion, 27 mm	30⁺⁵	R salpingectomy	EpiG	Necrosis (torsion)	No	CS, 41 weeks, 3,815 g
14	Ovarian tumor (possibly malignant), 110 mm	20⁺¹	RSO	P	Mature cystic teratoma	No	Ongoing gestation
15	Ovarian torsion, 68 mm	26⁺¹	LSO	EpiG	Necrosis (torsion)	Blood transfusion	CS, 34⁺³ weeks, 1,740 and 1,540 g^c
16	Simple cyst, 65 mm	13⁺³	Ovarian detorsion	P	–	No	Ongoing pregnancy
17	Ovarian torsion, 73 mm	19⁺²	RSO	P	Necrosis (torsion)	No	Ongoing pregnancy

GE gestational age given in weeks + days, SubX subxiphoid, EpiG epigastric, P Palmer’s point, Umb umbilical, SU supraumbilical, R/L SO right/left salpingo-oophorectomy, TPTL threatened preterm labor, VD vaginal delivery, ABD assisted breech delivery, CS cesarean section
^aUltrasound (US) findings describe the mass characteristics or suspected diagnosis based on US and the maximum diameter of the mass (or in cases of ovarian torsion, maximal ovarian diameter)
^bRefers to presence of septations and/or papillary projections with US suspicion of ovarian carcinoma
^cCS delivery because of severe preeclampsia in a twin dichorionic diamniotic pregnancy

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