LAPAROSCOPIC MANAGEMENT OF ADNEXAL MASSES IN THE REPRODUCTIVE AGE GROUP

Background: Laparoscopy has become an accepted and standard approach in the management of adnexal masses. Material and Methods: We performed a retrospective record based cross sectional study over a 4 year reriod of 90 cases of adnexal masses which were managed laparoscopically. Aim of the study: To evaluate the safety and effectiveness of laparoscopy in management of adnexal masses. Results: In 88 cases, procedure was completed safely with minimum morbidity. In 2 cases laparotomy was done to complete the procedure. In 48 cases cystectomy was done, 15 cases required oophorectomy, 10 required salpingo oophorectomy and 9 required salpingectomy. Histologic evaluation revealed 46 functional cysts, 6 endometriotic cysts, 6 dermoid cysts, 9 serous cystadenomas, 3 mucinous cystadenomas, 10 paraovarian cysts, 2 cases of hydrosalpinx and 7 cases of ectopic pregnancy.. Conclusion:Adnexal masses thought to be benign pre operatively were successfully managed laparoscopically. Laparoscopy helped to reduce post operative morbidity, hospital stay, blood loss, cost and adhesion formation thus improving quality of life