Adnexal Masses in Pregnancy: Surgery Compared With Observation

Schmeler, Kathleen M.; Mayo-Smith, William W.; Peipert, Jeffrey F.; Weitzen, Sherry; Manuel, Misty D.; Gordinier, Mary E.

doi:10.1097/01.aog.0000157465.99639.e5

Cited by 277 publications

(165 citation statements)

References 21 publications

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“…6 There was adnexal mass of size greater than 5cm in 63 patients (0.05%). They concluded that close observation is a reasonable alternative to antepartum surgery in patients with an adnexal mass during pregnancy.…”

Section: Discussionmentioning

confidence: 92%

Acute abdomen in early pregnancy caused by torsion of bilateral huge multiloculated ovarian cysts

Rajendran

Devi

2015

Int J Reprod Contracept Obstet Gynecol

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Section: Discussionmentioning

confidence: 92%

Acute abdomen in early pregnancy caused by torsion of bilateral huge multiloculated ovarian cysts

Rajendran

Devi

2015

Int J Reprod Contracept Obstet Gynecol

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“…18 In 2005, Schmeler and colleagues tried to estimate whether delaying surgery affects the risk of adverse maternal and fetal outcomes in patients diagnosed with an adnexal mass during pregnancy. 19 They concluded that close observation is a reasonable alternative to antepartum surgery in patients with an adnexal mass during pregnancy in selected cases. 19 In addition, study by Katz et al of a high-risk group (teratoma during pregnancy) failed to identify an unfavourable prognosis with these tumors, because complications are extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Ovarian tumours associated with pregnancy: a five year retrospective study in a tertiary care hospital

Sunanda

Akhila

2015

Int J Reprod Contracept Obstet Gynecol

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“…Shorter operation time, removal of the mass with lower risk of rupture and preserving more ovarian tissue are some advantages of this approach in comparison to laparoscopy (7). In the selected cases of adnexal mass during pregnancy, close observation is an accepted alternative to surgery in patients with an adnexal mass (8). The gold standard to detect an ovarian tumor during pregnancy is ultrasound (4).…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of an Ovarian Bilateral Multiple Dermoid Cyst During Pregnancy: A Case Report Study

Moradan

2016

Middle East J Rehabil Health

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Introduction: Most ovarian dermoid cysts occur during the reproductive age and therefore could occur during pregnancy. They are present in 0.03% of pregnancies and the risk of torsion during pregnancy is approximately 8%. They are bilateral in approximately 10% of cases. Diagnosis is usually made by ultrasound imaging. An ovarian cystectomy is almost always possible, even if it appears that only a small amount of ovarian tissue remains. Intraoperative spill of tumor contents may be a cause of complications. Case Presentation: A 28-year-old, pregnant, primipara female with gestational age 20 weeks + four days where referred to with complaint of pelvic mass that was incidentally reported in sonography where referred to the hospital. She had undergone intact removal (without spillage) of cysts during pregnancy by laporotomy and histopathologic report confirmed bilateral, multiple, benign and dermoid cyst. She was discharged without any complication on the second day after operation. She had an uneventful pregnancy and a cesarean delivery with alive, normal, female fetus at 38 weeks of gestation because of breech presentation. Conclusions: It seems that early diagnosis and intact surgery of multiple ovarian dermoid cysts during the second trimester of pregnancy could prevent complication of cysts and probably guarantee the prevention of adverse pregnancy outcome.

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Adnexal Masses in Pregnancy: Surgery Compared With Observation

Abstract: In select cases, close observation is a reasonable alternative to antepartum surgery in patients with an adnexal mass during pregnancy.

Cited by 277 publications

References 21 publications

Acute abdomen in early pregnancy caused by torsion of bilateral huge multiloculated ovarian cysts

Acute abdomen in early pregnancy caused by torsion of bilateral huge multiloculated ovarian cysts

Ovarian tumours associated with pregnancy: a five year retrospective study in a tertiary care hospital

Surgical Management of an Ovarian Bilateral Multiple Dermoid Cyst During Pregnancy: A Case Report Study

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