Management of Adnexal Masses Encountered at Cesarean Section

Abstract

Aim: In this study; it was aimed to study the characteristics and pathology results of adnexal masses encountered during cesarean section in a tertiary hospital. 
Material and Method: Operating room and pathology department data for adnexal masses encountered during cesarean delivery between January 2014 and December 2016 were retrospectively reviewed. Clinical features, pathology results, maternal and neonatal outcomes were evaluated. 
Results: 17,210 (41% of all deliveries) of 41,672 deliveries were performed with cesarean section and 32 (0.18%) of the adnexal masses requiring surgical intervention during the operation were detected. The mean adnexal mass dimension was 6.59 ± 1.31 (5-9 cm). 29 patients (90.6%) underwent cystectomy and 3 (9.4%) patients had oopherectomy. Most of these masses were pathologically simple serous cysts and it was seen that the additional operation did not increase morbidity during cesarean section.
Conclusion: Adnexal masses encountered during the cesarean section should be removed taking the possibility of torsion, rupture and malignancy into consideration and in order to eradicate the risk of additional surgery after cesarean section,. These masses usually have no negative effect in terms of maternal and fetal prognosis.

Keywords

• Adnexial mass,cesarean section,ovarian cyst

Sezaryen Sırasında Saptanan Adneksiyel Kitlelerin Yönetimi

Abstract

Giriş: Bu çalışmada; tersiyer bir sağlık merkezinde sezaryen sırasında tespit edilen adneksiyel kitlelerin özelliklerini ve patoloji sonuçlarını n ortaya konulması amaçlandı. 
Materyal ve Metot: Ocak2014-Aralık 2016 tarihleri arasında ameliyathane ve patoloji bölümü verileri, sezaryen doğum sırasında saptanan adneksiyel kitleler için retrospektif olarak gözden geçirildi. Klinik özellikler, patoloji sonuçları, maternal ve neonatal sonuçlar değerlendirildi. Bulgular: 41.672 doğumun 17.210 tanesi (tüm doğumların % 41’i) sezaryen ile gerçekleştirilmiş olup bunların 32 (%0,18) tanesinde operasyon esnasında cerrahi müdahale gerektirecek adneksiyel kitle saptandı. Ortalama adneksiyel kitle boyutu 6.59±1.31 (5-9 cm) olarak görüldü. 29 (%90.6) hastaya kistektomi yapıldı. 3(%9.4) hastaya ise ooferektomi yapıldı. Bu kitlelerin büyük kısmının patoloji sonucu basit seröz kist olarak saptanmış olup yapılan ek ameliyatın sezaryen sırasında morbiditeyi arttırmadığı görüldü. 
Sonuç: Sezaryen sırasında saptanan adneksiyel kitleler torsiyon, rüptür ve malignite olasılığı göz önüne alınarak ve sezaryen sonrası ek cerrahi işlem riskini ortadan kaldırmak için çıkarılmalıdır. Saptanan bu kitleler genellikle maternal ve fetal prognoz açısından olumlu sonuçlara sahiptir.

Keywords

• Adneksiyel kitle,sezaryen,over kisti

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