Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study
Background and aim: To evaluate the clinical, pathological and surgical characteristics of adnexal masses in hysterectomized women with one or both ovaries conserved.Material and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology over twent...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
International Journal of Scientific Research in Dental and Medical Sciences (IJSRDMS)
2022-11-01
|
| Series: | International Journal of Scientific Research in Dental and Medical Sciences |
| Subjects: | |
| Online Access: | http://www.ijsrdms.com/article_159918_e93c4c0fb84bc01f30f2ec84875a2c33.pdf |
| _version_ | 1811291448977391616 |
|---|---|
| author | Sivaram Rajappagari Sree Gouri Manju Yadav Chavali Veronica Thunga Anil Kumar Nallabothula |
| author_facet | Sivaram Rajappagari Sree Gouri Manju Yadav Chavali Veronica Thunga Anil Kumar Nallabothula |
| author_sort | Sivaram Rajappagari Sree Gouri |
| collection | DOAJ |
| description | Background and aim: To evaluate the clinical, pathological and surgical characteristics of adnexal masses in hysterectomized women with one or both ovaries conserved.Material and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology over twenty months, including 80 hysterectomized women with one or both adnexa preserved and later presented with subsequent adnexal masses. The previous surgical histories of these patients, present clinical and pathological characteristics of ovarian cysts, and possible management options were evaluated.Results: Among the study's 224 hysterectomized women presented to the Gynaecology Outpatient Department (OPD), 80 women with adnexal masses were included. Among the 80 hysterectomies, most were abdominal hysterectomies. Moreover, most patients underwent hysterectomy between 40 and 50 years of age. Symptomatic Fibroid uterus was the most common indication for hysterectomy. Among the 80 women in, 68.8% women, both ovaries were preserved. The most common presenting symptom was pain abdomen. Adnexal masses are evaluated by clinical examination, Radiological imaging modalities, and tumour markers depending on the need. Among the 80 women, 43.8% needed surgical intervention, 48.8% managed with conservative treatment, and 7.5% were referred to Oncology. Benign ovarian epithelial tumours were the most common type among surgically treated.Conclusions: The management of adnexal masses in hysterectomized women should be individualized, depending on the presenting symptoms, the size of the adnexal mass, radiological findings, tumour markers, and expected future complications. |
| first_indexed | 2024-04-13T04:29:33Z |
| format | Article |
| id | doaj.art-61a2038430d44d869cb470685a34856f |
| institution | Directory Open Access Journal |
| issn | 2676-5497 2676-5373 |
| language | English |
| last_indexed | 2024-04-13T04:29:33Z |
| publishDate | 2022-11-01 |
| publisher | International Journal of Scientific Research in Dental and Medical Sciences (IJSRDMS) |
| record_format | Article |
| series | International Journal of Scientific Research in Dental and Medical Sciences |
| spelling | doaj.art-61a2038430d44d869cb470685a34856f2022-12-22T03:02:22ZengInternational Journal of Scientific Research in Dental and Medical Sciences (IJSRDMS)International Journal of Scientific Research in Dental and Medical Sciences2676-54972676-53732022-11-014415616110.30485/ijsrdms.2022.362472.1370159918Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational StudySivaram Rajappagari Sree Gouri0Manju Yadav Chavali1Veronica Thunga2Anil Kumar Nallabothula3Deapartment of Obstetrics and Gynecology, Sri Balaji Medical College and Research Institute, Tirupati, Andhra Pradesh, IndiaDeapartment of Obstetrics and Gynecology, Sri Venkateswara Medical College, NTR University of Health Sciences, Tirupati, Andhra Pradesh, IndiaDeapartment of Obstetrics and Gynecology, Sri Balaji Medical College and Research Institute, Tirupati, Andhra Pradesh, IndiaDepartment of Urology, Sri Venkateswara Institute of Medical Sciences, SVIMS University, Tirupati, Andhra Pradesh, IndiaBackground and aim: To evaluate the clinical, pathological and surgical characteristics of adnexal masses in hysterectomized women with one or both ovaries conserved.Material and methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology over twenty months, including 80 hysterectomized women with one or both adnexa preserved and later presented with subsequent adnexal masses. The previous surgical histories of these patients, present clinical and pathological characteristics of ovarian cysts, and possible management options were evaluated.Results: Among the study's 224 hysterectomized women presented to the Gynaecology Outpatient Department (OPD), 80 women with adnexal masses were included. Among the 80 hysterectomies, most were abdominal hysterectomies. Moreover, most patients underwent hysterectomy between 40 and 50 years of age. Symptomatic Fibroid uterus was the most common indication for hysterectomy. Among the 80 women in, 68.8% women, both ovaries were preserved. The most common presenting symptom was pain abdomen. Adnexal masses are evaluated by clinical examination, Radiological imaging modalities, and tumour markers depending on the need. Among the 80 women, 43.8% needed surgical intervention, 48.8% managed with conservative treatment, and 7.5% were referred to Oncology. Benign ovarian epithelial tumours were the most common type among surgically treated.Conclusions: The management of adnexal masses in hysterectomized women should be individualized, depending on the presenting symptoms, the size of the adnexal mass, radiological findings, tumour markers, and expected future complications.http://www.ijsrdms.com/article_159918_e93c4c0fb84bc01f30f2ec84875a2c33.pdfgynaecologyhysterectomizedwomen |
| spellingShingle | Sivaram Rajappagari Sree Gouri Manju Yadav Chavali Veronica Thunga Anil Kumar Nallabothula Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study International Journal of Scientific Research in Dental and Medical Sciences gynaecology hysterectomized women |
| title | Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study |
| title_full | Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study |
| title_fullStr | Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study |
| title_full_unstemmed | Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study |
| title_short | Evaluation of the Adnexal Masses in Hysterectomized Women: An Observational Study |
| title_sort | evaluation of the adnexal masses in hysterectomized women an observational study |
| topic | gynaecology hysterectomized women |
| url | http://www.ijsrdms.com/article_159918_e93c4c0fb84bc01f30f2ec84875a2c33.pdf |
| work_keys_str_mv | AT sivaramrajappagarisreegouri evaluationoftheadnexalmassesinhysterectomizedwomenanobservationalstudy AT manjuyadavchavali evaluationoftheadnexalmassesinhysterectomizedwomenanobservationalstudy AT veronicathunga evaluationoftheadnexalmassesinhysterectomizedwomenanobservationalstudy AT anilkumarnallabothula evaluationoftheadnexalmassesinhysterectomizedwomenanobservationalstudy |