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Article

Effect of Two-Port Laparoscopic Surgery on Pregnancy Outcomes of Patients with Concurrent Adnexal Masses

1
Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei 100, Taiwan
2
Graduate Institute of Clinical Medicine, National Taiwan University College of Medicine, Taipei 100, Taiwan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(16), 4697; https://doi.org/10.3390/jcm11164697
Submission received: 28 June 2022 / Revised: 29 July 2022 / Accepted: 9 August 2022 / Published: 11 August 2022

Abstract

Adnexal masses are common in pregnancy, with 2–10% of pregnancies presenting with an ovarian mass and approximately 1–6% of these masses being malignant. For suspected malignancy or masses with symptoms, surgery must be performed as early as possible. We retrospectively investigated the effect of two-port laparoscopic surgery on the outcomes of patients with concurrent adnexal masses between 2012 and 2019 (including large mucinous tumor, large teratoma, serous borderline tumor, and heterotopic pregnancy). Laparoscopic right partial oophorectomy was performed for a 27 cm ovarian mucinous tumor at a gestational age (GA) of 21 weeks, laparoscopic right oophorocystectomy for an 18 cm teratoma at a GA of 10 weeks, and laparoscopic left salpingo-oophorectomy for a 7 cm serous borderline tumor at a GA of 7 weeks after ultrasonographic confirmation of an intrauterine gestational sac with a fetal heartbeat. Laparoscopic excision of a tubal pregnancy was performed in a heterotopic pregnancy at a GA of 12 weeks with massive internal bleeding. Laparoscopic surgery is easier and safe to perform during early pregnancy because a smaller uterus allows for superior visualization. All of these patients had optimal postoperative recovery and normal spontaneous delivery at term. We discussed several aspects of treatment and delivery, namely treatment option (expectant management or surgery), surgery timing (early or advanced pregnancy), surgery type (laparoscopy or laparotomy), and delivery route (normal spontaneous delivery or cesarean section), in patients with concurrent adnexal tumors and their effects on pregnancy outcomes.
Keywords: two-port; laparoscopy; pregnancy; adnexal masses; delivery two-port; laparoscopy; pregnancy; adnexal masses; delivery

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MDPI and ACS Style

Li, Y.-X.; Ko, M.-E.; Hsu, C.; Huang, K.-J.; Sheu, B.-C.; Chang, W.-C. Effect of Two-Port Laparoscopic Surgery on Pregnancy Outcomes of Patients with Concurrent Adnexal Masses. J. Clin. Med. 2022, 11, 4697. https://doi.org/10.3390/jcm11164697

AMA Style

Li Y-X, Ko M-E, Hsu C, Huang K-J, Sheu B-C, Chang W-C. Effect of Two-Port Laparoscopic Surgery on Pregnancy Outcomes of Patients with Concurrent Adnexal Masses. Journal of Clinical Medicine. 2022; 11(16):4697. https://doi.org/10.3390/jcm11164697

Chicago/Turabian Style

Li, Ying-Xuan, Mu-En Ko, Ching Hsu, Kuan-Ju Huang, Bor-Ching Sheu, and Wen-Chun Chang. 2022. "Effect of Two-Port Laparoscopic Surgery on Pregnancy Outcomes of Patients with Concurrent Adnexal Masses" Journal of Clinical Medicine 11, no. 16: 4697. https://doi.org/10.3390/jcm11164697

APA Style

Li, Y.-X., Ko, M.-E., Hsu, C., Huang, K.-J., Sheu, B.-C., & Chang, W.-C. (2022). Effect of Two-Port Laparoscopic Surgery on Pregnancy Outcomes of Patients with Concurrent Adnexal Masses. Journal of Clinical Medicine, 11(16), 4697. https://doi.org/10.3390/jcm11164697

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