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adnexal cyst icd 10
Mettler L; Semm K; Shive K
BACKGROUND: The laparoscopic administration of apprehensive adnexal masses and aboriginal ovarian malignancies is discussed with the aim of advancement accustomed oncologic analysis principles. Comparative adaptation abstracts of patients with gynecological malignancies managed by laparoscopy or laparotomy are still actual deficient and the adaptation of blight patients charge not be compromised by new techniques. It is time to carefully assay laparoscopy and actuate if it has a absolute appulse on the analysis and analysis of ovarian malignancies. In this cardboard we will abode the afterward points: 1) Which ovarian cysts can be surgically advised by laparoscopy (pelviscopy)? 2) Is staging laparoscopy an accustomed technique? 3) Is laparoscopy, as a second-look procedure, of benefit? 4) Is laparoscopic staging, calm with histologic tissue sampling, able surgical address in busted ovarian blight with ascites and peritoneal carcinomatosis? 5) Does endoscopic biopsy of ovarian blight date Ia change the afterlife of a accommodating into ovarian blight Ic?
DATA BASE: The aloft questions are analyzed based on our acquaintance with the laparoscopic analysis of 1,225 patients with ovarian cysts and 165 ovarian blight patients date I to IV advised anon by laparotomy during the years 1992-1995.
CONCLUSIONS: Ovarian cystic tumors with no signs of blight can be dealt with by laparoscopic agency with the advantage of actual about-face to laparotomy or aural one anniversary if an ovarian blight is diagnosed. Today sampling laparoscopic lymphadenectomy of both pelvic and para-aortic is achievable and adequate. On a alleviative level, the cardinal of lymph nodes to be resected has yet to be determined. The adnexa can be extracted from the belly atrium with bag abstraction after the crisis of spillage. The uterus can be removed transvaginally with laparoscopic assisted vaginal hysterectomy (LAVH). We charge be alert to apostle laparoscopy for ovarian cancer. However, it is an accomplished apparatus back acclimated as a staging procedure. A accurate preoperative screening of the accommodating and an exact analogue of absolute cysts with imaging techniques allows us to frequently administer laparoscopic anaplasty for ovarian cysts, abrogation alone readily apparent blight cases for laparotomy. Abounding gynecological oncologists employing staging and second-look procedures for ovarian blight accede that initiating a case with laparoscopy may avert laparotomy for abounding patients. Bump advancement by assuming a biopsy in FIGO date Ia ovarian blight patients does not action if the accommodating receives able abolitionist surgical analysis aural one week. According to the letters of Sevelda et al. and Dembo et al., the amount of adverse and the actuality of ascites are added accordant to abbreviating the five-year adaptation amount of patients with ovarian blight date I than the breach of abridged or assimilation of the tumor. A annex on the aboriginal two ambit was begin in these two ample statistical studies. As the catechism of endoscopic operations for adnexal accumulation is predominantly put for the sanitation of baby ovarian tumors (ovarian tumors with solid particles in the cysts can be put into the area of primary laparotomies) there charcoal a advanced acreage of break for the laparoscopic analysis of adnexal accumulation and ovarian cysts with amiable indications. For abounding adolescent patients with non-malignant ovarian lesions such as endometriosis, amiable cysts, amiable cystic proliferations and fibromas, a laparotomy can be abhorred and these lesions advised by laparoscopy.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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