The evaluation of laparoscopic surgery on pregnant patients with ovarian cysts and its effects on pregnancy over the past 5 Years

Kurihara, Koki; Minagawa, Mari; Masuda, Masao; Fukuyama, Mari; Tanigaki, Keiko; Yamamoto, Atsushi; Kato, Seiko; Fujita, Hiroyuki; Eto, Miho

doi:10.4103/gmit.gmit_12_17

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…A similar surgical procedure was reported by Kurihara et al . [ 8 ] This procedure has three advantages. First, it can shorten the duration of pneumoperitoneum; second, it enables safe operation even when the surgical field is compromised by a large uterus; third, in cases of mature cystic teratomas, the incidence of chemical peritonitis is low because of minimal leakage of fluid.…”

Section: Discussionmentioning

confidence: 99%

“…reported no surgical complications in 14 cases of laparoscopic surgery with the SAND balloon catheter ® among pregnant patients with ovarian cysts. [ 8 ] In a report of 115 cases in a 14-year series by Wan Ghazali et al ., the rates of visceral injuries and conversion to laparotomy were 0% and 1.7%, respectively. [ 10 ] The type of complications could have occurred even in nonpregnancy surgery.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy: A Single-center Retrospective Study

Naing,

Ozaki,

Kitade

et al. 2023

Gynecology and Minimally Invasive Therapy

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Objectives: This study aimed to evaluate the effectiveness of prophylactic laparoscopic surgery for avoiding adnexal torsion in pregnant women with benign adnexal masses. Materials and Methods: This report contains two analyses, each for a different group of patients. Analysis 1: Surgical and pregnancy outcomes were examined among the 126 cases who underwent laparoscopic assisted cystectomy for adnexal masses during pregnancy in our hospital between January 2001 and December 2020. Analysis 2: The incidence of adnexal torsion during pregnancy was evaluated among the cases with adnexal masses ≥5 cm who opted for conservative follow-up in our hospital between January 2011 and December 2020. Results: In analysis 1, the most common pathological diagnosis was a mature cystic teratoma (76.2%). The mean gestational age at surgery was 13.1 ± 1.3 weeks. No cases were converted to laparotomy and oophorectomy. Regarding delivery outcomes, 97.4% of cases went on to have full-term deliveries. In Analysis 2, the incidence of adnexal mass ≥5 cm that did not resolve spontaneously during pregnancy was 89 cases (0.8%). The frequency of malignancy was 3 cases (0.03%). In 28 cases who opted for conservative treatment, 5 (17.9%) underwent emergency surgery for adnexal torsion. Conclusion: Prophylactic surgery for benign adnexal masses during pregnancy can be performed laparoscopically and preserved ovarian functions. In pregnant women with adnexal masses that do not resolve spontaneously, planning laparoscopic surgery is considered beneficial for complications, such as adnexal torsion.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy: A Single-center Retrospective Study

Naing,

Ozaki,

Kitade

et al. 2023

Gynecology and Minimally Invasive Therapy

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“…Other methods of elevating the ovary during pregnancy include the use of forceps to create space and of fingers to push up the Cul-de-sac from beneath. There are also reports on the use of a rectal probe (Rectal Sonde™ [Hakko Medical, Tokyo]) or SAND balloon catheter™ (Hakko Medical, Tokyo) to elevate the ovary [ 17 ]. However, SAND balloon catheter™ can only be used after the ovaries have been raised initially.…”

Section: Discussionmentioning

confidence: 99%

Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Kotani

Murakami

Yamamoto

et al. 2021

BMC Pregnancy Childbirth

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Background A uterine manipulator cannot be used to elevate the ovary in benign ovarian surgery during pregnancy. This report describes our method of elevation of the ovary using a metreurynter with the success rate of the procedure and a comparison of surgical results and pregnancy outcomes between the successful and unsuccessful cases. Methods Between August 2003 and February 2020, 11 pregnant patients with a tumor found sunk in the Cul-de-sac underwent laparoscopic cystectomy for a benign ovarian cyst with a metreurynter. The surgical results, success and failure of the elevation by a metreurynter, pregnancy outcomes, and fetal status at delivery were evaluated. Results Elevation of ovarian tumors with a metreurynter was successful in nine cases. However, it was unsuccessful in the remaining two cases wherein the ovary was lifted with forceps while the uterus was in a compressed state. The operative time was also longer in these cases. The pregnancy prognosis, however, was good for both, successful and unsuccessful cases. Conclusions The metreurynter is an inexpensive and practical obstetric device, and its optimal use allows the performance of a procedure with minimal burden on a pregnant uterus. Therefore, we recommend the appropriate use of this method to enable effective laparoscopic cystectomy of ovarian tumors during pregnancy.

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“…However, the decision between surgical or conservative treatment and which trimester to perform the surgery remains to be elucidated with ovarian teratomas during pregnancy. Laparoscopic surgery is considered safe for teratoma in pregnancy,[ 3 ] with laparoendoscopic single-site surgery (LESS) and vaginal natural orifice transluminal endoscopic surgery (vNOTES) being new laparoscopy methods. [ 4 5 6 ] The advantages to vNOTES include avoidance of an abdominal scar, short surgical time, and less pain.…”

Section: Introductionmentioning

confidence: 99%

Vaginal Natural Orifice Transluminal Endoscopic Surgery in a Second-trimester Pregnant Woman with an Ovarian Teratoma

Chen

Ding

2023

Gynecology and Minimally Invasive Therapy

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We present the first case of a pregnant woman with teratoma, who underwent vaginal natural orifice transluminal endoscopic surgery (vNOTES). Mature ovarian cystic teratomas compromise 20%–30% of all ovarian tumors. The best surgical management is still unclear, especially during pregnancy. A 21-year-old pregnant woman (gravida 1, para 0) at 14 weeks and 3 days of gestational age was admitted with an intermittent mild sharp and dull pain in her right lower abdomen when walking or moving lower limbs. Pelvic ultrasonography revealed a 5.9 cm × 5.4 cm heterogeneous mass that was suspected as a teratoma in the right adnexa. Initially, laparoendoscopic single-site ovarian cystectomy (OC) was arranged. However, the ovarian tumor was impeded by the enlarged uterus. The OC procedure was changed to vNOTES OC. The vNOTES OC was performed smoothly and the pathology confirmed the mass to be a teratoma. After the operation, she recovered well and was discharged 2 days after the operation without any complication. In conclusion, the application of vNOTES in the second-trimester pregnancy might be considered safe and effective. The vNOTES can be performed safely in selected patients and by an experienced surgeon.

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The evaluation of laparoscopic surgery on pregnant patients with ovarian cysts and its effects on pregnancy over the past 5 Years

Cited by 7 publications

References 14 publications

Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy: A Single-center Retrospective Study

Effectiveness of Prophylactic Laparoscopic Surgery for Benign Adnexal Mass during Pregnancy: A Single-center Retrospective Study

Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

Vaginal Natural Orifice Transluminal Endoscopic Surgery in a Second-trimester Pregnant Woman with an Ovarian Teratoma

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