Article ID Journal Published Year Pages File Type
3954529 International Journal of Gynecology & Obstetrics 2010 4 Pages PDF
Abstract

ObjectiveTo evaluate the factors associated with physicians’ choice of laparotomy or laparoscopy in pregnant women with presumptive benign ovarian tumors.MethodsRetrospective comparative analysis of pregnant women who underwent laparotomy or laparoscopy for ovarian tumors and who delivered at Samsung Medical Center, Seoul, Korea, between July 1995 and April 2008.ResultsUnivariate analysis revealed that the following factors had a significant or a borderline significant association with the choice of operation type: maternal age (P = 0.044); surgeon type (professor vs clinical fellow; P = 0.094); tumor mass size (P = 0.081); gestational age (P = 0.035); and time since surgery (P < 0.001). Multivariate analysis showed that tumor size (P = 0.030), gestational age (P = 0.027), and time since surgery (P = 0.004) were independent factors associated with physicians’ choice of laparoscopy or laparotomy for the management of presumptive benign ovarian tumors during pregnancy.ConclusionsIn the latter years of the present study, physicians at the study center preferred the laparoscopic approach for managing presumptive benign ovarian tumors during pregnancy. Furthermore, they preferred this approach to laparotomy for pregnancies at a relatively early gestational age and for treating small tumors.

Related Topics
Health Sciences Medicine and Dentistry Obstetrics, Gynecology and Women's Health
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