Laparoscopic-Assisted abdominal small incision for management of adnexal mass during pregnancy: an academic institution study

Objective: To evaluate the safety and feasibility of Laparoscopic-Assisted abdominal small incision for the management of adnexal masses during pregnancy. Design : Retrospective case series. Setting: University-based tertiary-care hospital. Patients: 12 pregnant women with an adnexal mass during the second-trimester. Interventions: Laparoscopic-Assisted Minimally invasive surgery with abdominal small incision. Measurements and Main results: Surgical and obstetric outcomes were evaluated. 1. The median age was 28.5 years (range, 25-40 years), all procedures were done during the second trimester, the mean gestation week was 16 weeks (range, 12-17weeks) at operation. 2. The mean operational time was 130 minutes (range, 45-200 minutes). The median blood loss was 10ml (range, 5-200ml). The mean decrease of hemoglobin was 12g/L (range, 2-35g/L). The mean onset of flatus was 24h (range, 22-56h). The mean hospital stay was 5.5days (range, 2-7days). 3. 13 ovarian cysts and 1 mesosalpinx cyst were sent to histopathological diagnosis and the most common diagnosis is corpus luteum cyst. Cystectomy was performed for all women. 4. All patients had an uneventful recovery. The median gestation at delivery was 39.5weeks (range, 33-41 weeks), and the median birth weight was 3,227.5 g (range, 1465-4,300 g). 5. The median follow-up time was 3.5 years (range, 0.5-7years). All babies were healthy. Conclusion: Based on these initial findings, laparoscopic-Assisted abdominal small incision appears to be a safe and technically feasible alternative to multiport laparoscopic surgery for patients with adnexal mass during pregnancy.