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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 findingsa GE at surgery Intervention Entry site Histopathologic Diagnosis Complications Outcomes
1 Complex massb, 56 mm 21+0 RSO + peritoneal biopsy SubX Serous micropapillary borderline tumor No VD, 40 weeks, 3,870 g
2 Complex massb, 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 massb, 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 massb, 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 gc
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
  1. 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
  2. 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)
  3. bRefers to presence of septations and/or papillary projections with US suspicion of ovarian carcinoma
  4. cCS delivery because of severe preeclampsia in a twin dichorionic diamniotic pregnancy