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Comparison of subsequent pregnancy outcomes after surgery for adnexal masses performed in the first and second trimester of pregnancy.
- Source :
-
International Journal of Gynecology & Obstetrics . Mar2020, Vol. 148 Issue 3, p305-309. 5p. - Publication Year :
- 2020
-
Abstract
- <bold>Objective: </bold>To determine whether surgery for adnexal masses in the first trimester of pregnancy affects subsequent pregnancy outcomes compared to surgery in the second trimester.<bold>Methods: </bold>Data were retrospectively reviewed from women who underwent adnexal mass surgery before 26 weeks of gestation at a university hospital between July 2008 and June 2018. Women who underwent surgery in the first trimester were classified as group 1 (n=78) and those in the second trimester were classified as group 2 (n=48). Information on clinical characteristics and pregnancy outcomes was obtained from medical records and follow-up interviews and compared between two groups.<bold>Results: </bold>There were no differences in age, parity, mass size, laparoscopy, and operation time between the two groups. A total of 98 cases were confirmed as ovarian torsion, including 72 cases in group 1 and 26 cases in group 2. Accordingly, adnexectomy was performed more often in group 1 (P=0.002). No significant differences concerning the rate of abortion, preterm birth, or cesarean delivery were found.<bold>Conclusion: </bold>Surgery for adnexal masses performed in the first trimester is almost as safe as that in the second trimester. Surgery should be performed for women with a complex adnexal mass in the first trimester to avoid unfavorable complications. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SECOND trimester of pregnancy
*FIRST trimester of pregnancy
*PREGNANCY
*PREMATURE labor
*CESAREAN section
*RESEARCH
*PREMATURE infants
*RESEARCH methodology
*RETROSPECTIVE studies
*EVALUATION research
*MEDICAL cooperation
*PREGNANCY outcomes
*COMPARATIVE studies
*PREGNANCY complications
*LAPAROSCOPY
*RESEARCH funding
*ADNEXAL diseases
Subjects
Details
- Language :
- English
- ISSN :
- 00207292
- Volume :
- 148
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- International Journal of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 141541456
- Full Text :
- https://doi.org/10.1002/ijgo.13065