A retrospective study was undertaken to review the spectrum of pelviscopic ovarian surgery. The purpose of this study was to assess the scope of pelviscopic ovarian surgery. And to identify any advantages of disadvantages associated with the
procedure.
96 patients with ovarian pathology were managed pelviscopically from August 1990 to July 1993 at the Seoul National University Hospital.
The patient's ages ranged from 16 to 66, and their mean age was 31.83 patients(91.7%) were premenopausal, 2(2.1%) were postmenopausal and 6(6.2%) were amenorrhic state ; Presenting complaints included persistent pelvic mass, acute and chronic
pelvic
pain, infertility and so on. A protocol involving clinical examination. CA-125, ultrasound and color doppler studies were introduced to rule out the risk of incidental malignant ovarian tumors. The size of the cysts on ultrasound ranged from 3.5
to
9.9
cm with a mean of 5.8 cm. The operations performed were 6 biopsies, 2 with ovrian fenestration and biopsy, 21 with cystectomy, 55 with oophorectomy or adnexectomy and 5 with other procedures. There was a 7.3%(7/96) conversion late to laparotomy.
In
8
cases, cyst were bilateral. Mean operative time was 58 minutes and mean postoperative hospital stay was 2.4 days. Tyhere were 7 surgical complications including 1 ves sel injury, 3 wound infection, and 3 postoperative shoulder pain. No
malignancies
were
found postoperatively and the most common pathology was teratoma, endometrioma, serous or mucinous cyst in order.
The advantages of pelviscopy are minimal physical strain, better postoperative quality of life, and short hospital staywith acceptable complication rate. We concluded that management of ovarian pathology via pelviscopy is a method of treatment
choice in
carefully selected patients.
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