Don’t Hesitate on Performing Laparoscopic Surgery for Ovarian Masses during Pregnancy: A Multidisciplinary Approach to Ovarian Masses Complicating Pregnancy

서지정보

· 발행기관 : 대한주산의학회
· 수록지 정보 : Perinatology / 33권 / 2호 / 96 ~ 101페이지
· 저자명 : 오수정, 조지혜, 홍수빈, 고현선, 박인양, 황혜성

초록

Objective: This study demonstrates sonographic features of such ovarian masses and share treatment process for those that require surgery during pregnancy.
Methods: This retrospective study includes females diagnosed with ovarian masses during pregnancy at The Catholic University of Korea, Seoul St. Mary’s Hospital from 2009 to 2020. The study population was categorized into 2 groups depending on the need for surgery based on gestational age at the time of detection of ovarian masses, sonographic findings, and delivery outcomes. From the group that had surgery, outcomes were analysed according to the gestational age at surgery and the surgical indications.
Results: Of the 114 females with ovarian masses found during pregnancy, 49 (43.0%) underwent surgery during pregnancy, and 65 (57.0%) did not require surgery. Ovarian masses were found in the first trimester in 82 cases (71.9%). The risk factors for surgery were maternal age (odds ratio [OR], 0.84; 95% confidence interval [CI], 0.72-0.98), gestational age at the time of detection (OR, 0.85; 95% CI, 0.76-0.94), the size of the mass (OR, 1.06; 95% CI, 1.03-1.09), and ascites (OR, 18.09; 95% CI, 1.83-178.78). In females undergoing surgery during pregnancy, 45 (91.8%) had laparoscopic surgery, and 20 (40.8%) were treated surgically after 1st trimester. The most common cause of surgery was mass torsion (n=22, 44.9%).
Conclusion: The risk of ovarian surgery is higher during pregnancy when the mass is identified at an earlier gestational age, the masses are larger, or ascites is detected. Laparoscopic surgery is recommended even after the first trimester.

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