Safety and Outcomes of Laparoscopic Management of Benign Adnexal Masses in Aswan University Hospital: A Cross-Sectional Study

Amr M. Salheen, Mohamed S. Fahmy, Ahmed H. Elsayed, Hany F. Sallam and Abdou S. Ait-allah

Published on: 2023-10-28

Abstract

Background: Benign adnexal masses, often involving the ovaries and fallopian tubes, can manifest with various symptoms and complications. Traditional management has relied on open abdominal surgery (laparotomy), but laparoscopic approaches have gained prominence due to their minimally invasive nature and potential benefits. This study aimed to evaluate the safety and outcomes associated with laparoscopic management of benign adnexal masses.

Methods: We conducted a cross-sectional study over one year, from June 1, 2019, to May 30, 2020, involving 49 female participants aged 15 to 55 undergoing laparoscopic management for benign adnexal masses at Aswan University Hospital. Detailed patient demographics, clinical presentations, and surgical outcomes were documented. Data analysis was conducted using SPSS version 26.

Results: Most participants (93.9%) were within the childbearing age group (15-44 years), with chronic pelvic pain being the most common symptom (69.4%). Ultrasound diagnoses revealed primarily uniocular cystic masses (83.6%). Ovarian cystectomy was the predominant procedure (49.0%). Surgical complications included a (6.1%) conversion to laparotomy and intra-operative sebaceous material spillage (6.1%). Postoperative complications were minor, with no fatalities reported. Histopathology revealed the most common diagnoses of functional masses (18.4%) and endometriotic cysts (16.2%).

Conclusion: Laparoscopic management for benign adnexal masses is safe and effective, offering several advantages, such as shorter hospital stays and reduced complications.