OBJECTIVE:

The objective of this study is describe the diagnostic approach and the outcomes of patients with a diagnosis of a benign adnexal mass treated by minimally invasive surgery.

MATERIALS AND METHODS:

This is a retrospective study, conducted at the National Institute of Perinatal Medicine. We included all the patients attended between January, 2014 and September, 2015. We retrieved from the files, population general data, data of the surgical procedure, complications and histopathological results. We used descriptive statistic to report everyone of the variables.

RESULTS:

We included 104 patients. The two most frequent ultrasound diagnoses were endometriomas (33.3%), and a simple cyst (30.7%), another diagnoses were paraovarian cyst, mature cystic teratoma, paratubal cyst and complex adnexal mass. Ninety four percent of the masses were unilateral, only 6% were bilateral. Cistectomy was performed in 74.8% of the patients, an ooforectomy in 22.4%, and a salpingectomy in 15.5%. Blood loss (media ± SD) was 106.6 ± 140 mL, with a surgical time of 97.3 ± 48.1 minutes. One patient was complicated by a laceration on the small bowel, and another in the rectum. Two more patients had a hemorrhagic event. All surgical procedures were performed by minimally invasive surgery. We do not found any case of ovarian cancer.

CONCLUSIONS:

A standardized diagnostic protocol and a multidisciplinary approach can allow us to select the patients with an adnexal mass that are candidates to a management by minimally invasive surgery.

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