Professional paper
COMPARISON OF TRANSVAGINAL ULTRASONOGRAPHY AND MINILAPAROSCOPY IN ASSESSMENT OF BENIGN ADNEXAL MASSES
Božidar Njavro
Damir Hodžić
Abstract
Objective. To evaluate the accuracy of ultrasound examination and of minilaparoscopy in the appraisal of adnexal masses. Methods. During the period from April, 1998 to January, 2000 we treated totally 40 patients with benign adnexal masses by minilaparoscopy with 1.9 mm endo-camera (Wolf GmbH, Germany). All of those patients were preoperatively evaluated by transvaginal ultrasonography with 6.5 MHz probe (Hitachi, Japan). Results. Out of them, there were 5 (12.5%) cases of pelvic inflammatory disease, 8 (20.0%) ectopic pregnancies, 5 (12.5%) endometriosis, 4 (10.0%) dermoid cyst, 3 (7.5%) paraovarial cyst, 4 (10.0%) polycystic ovaries, 8 (20.0%) functional cyst, and 3 (7.5%) other benign adnexal masses. After final diagnostic evaluation by minilaparoscopy, all patients were successfully treated by operative laparoscopy (mostly cyst enucleation, oophorectomy or/and salpingectomy) or laparotomy, in few cases. All patients were dismissed after brief hospitalization and without perioperative complications. Conclusion. Both methods are approximatively of the same accuracy, they are complementary.
Keywords
transvaginal sonography; minilaparoscopy; benign adnexal masses
Hrčak ID:
15534
URI
Publication date:
1.9.2003.
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