Robotic surgery for adnexal masses in pregnancy
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Adnexal masses are a common finding during pregnancy with an incidence of one in 600 pregnancies . A simple cyst occurs in 76% of cases, compared to a multi-cystic or complex mass in 24% . Simple-appearing cystic masses can be managed expectantly; however, rapid growth, complex ultrasonographic characteristics (papillary projections or solid components), or concerns over complications including ovarian torsion or hemorrhage may lead to surgical intervention .
Fortunately, only 1% of adnexal masses in pregnancy are malignant . If surgical exploration is necessary, retrospective studies have demonstrated the feasibility, safety, and advantages of minimally invasive surgery over traditional open techniques [5, 6]. We conducted a literature search using Ovid MEDLINE®1950 to November week 4 2010 using the search terms “pregnancy, robotics, da Vinci” with restrictions to the English language. There were no publications describing the use of robotic surgery for...
KeywordsAdnexal Mass Ovarian Mass Mature Teratoma Cystic Teratoma Ovarian Torsion
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