Pregled bibliografske jedinice broj: 182992
Treatment cystic ovarian lesions by transvaginal alcohol sclerosis and laparoscopy
Treatment cystic ovarian lesions by transvaginal alcohol sclerosis and laparoscopy // Final Program & Abstract Volume of XII Annual Congress of the International Society for Gynecologic Endoscopy / Nisole, M - ISGE Executive Board (ur.).
Cancun: ISGE, 2003. (poster, nije recenziran, sažetak, ostalo)
CROSBI ID: 182992 Za ispravke kontaktirajte CROSBI podršku putem web obrasca
Naslov
Treatment cystic ovarian lesions by transvaginal alcohol sclerosis and laparoscopy
Autori
Kukura, Vlastimir ; Ciglar, Srećko ; Podgajski, Mario
Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, ostalo
Izvornik
Final Program & Abstract Volume of XII Annual Congress of the International Society for Gynecologic Endoscopy
/ Nisole, M - ISGE Executive Board - Cancun : ISGE, 2003
Skup
XII Annual Congress of the International Society for Gynecologic Endoscopy
Mjesto i datum
Cancún, Meksiko, 03.04.2004. - 05.04.2004
Vrsta sudjelovanja
Poster
Vrsta recenzije
Nije recenziran
Ključne riječi
cystic ovarian lesions; laparoscopy; transvaginal alcohol sclerosis
Sažetak
For the purposes of the study all cysts were unilocular, sonolucent, with a smooth inner wall of the capsule, with no septa and with no neovascularisation as assessed by transvaginal colour Doppler. Serum CA-125 levels were lower than 35 U/ml in all cases. The cyst capsule was punctured using 18-gauge needle under ultrasound control. Where the cytological findings were negative the cyst was evacuated completely and sterile 96% alcohol was injected in 50% of the evacuated liquor amount. The alcohol remained in situ for five minutes and was then evacuated completely. During a 14 year period we recruited 180 patients with an ovarian cyst volume of 40-140 ml age range 20-60 years. For local anaesthesia 2% Xylocain was injected into the posterior vaginal fornix. Seven patients who were treated conservatively with analgetics experienced very intense pelvic pain. Relapse after three months occurred in nine patients (5, 0%) where the cyst volume was >100 ml. All relapse cysts are treated by laparoscopy. The technique of puncture is simple and easy to perform. The method of treating by 96% alcohol demonstrated good results. This technique offers the possibility of a more conservative management of ovarian cysts with a low risk of malignancy. Cysts of volume >100 ml are better treated surgically by laparoscopy.
Izvorni jezik
Engleski
Znanstvena područja
Kliničke medicinske znanosti, Veterinarska medicina, Farmacija