PELVISCOPIC OVARIAN SURGERY (POSSIBILITIES AND BORDERLINES)
Articles > Article · 1990
Authors: Ege Nazan TAVMERGEN GÖKER, H MECKE, K SEMM
ZENTRALBLATT FUR GYNAKOLOGIE, Journal Indexed in SCI Expanded, International, 1990, vol 112, pp 1405-1411
Summary
In analyzing 500 consecutive pelviscopies performed at the University Womens Clinic in Kiel in 1988, 310 patients had undergone either diagnostic or operative procedures on the ovary, i.e. pelviscopy in the case of an ovarial tumor. 95.5% of all procedures could be performed per pelviscopy. 4.5% of cases required therapy per laparotomy. The pelviscopic procedures were primarily organ preserving operations associated with minimally invasive surgery, for example: Ovariolysis, ovarian cystenucleation, coagulation of ovarian endometriotic implants, follicle puncture, parovarian cyst enucleation and, salpingo-oophorectomy. Laparotomy was indicated in the case of malignant disease, Borderline tumors, large tumors, extensive adhesiolysis status post previous laparotomy, and in one case uncontrollable bleeding. The results show that today most procedures on the ovary can be performed per pelviscopy. In order to prevent a pelviscopic intervention in suspicious cases, the indication for laparotomy here must be generously applied.