Publication:

A retrospective study on surgical management of ovarian tumours in a teritary care semiurban hospital

Background The prevalance of ovarian tumors is around 1-3%. The accurate diagnosis and appropriate management of ovarian tumors is a real challenge to gynaecologists. The aim of the study was to analyse the risk factors, clinical presentation, surgical procedure and histopathological report in patients with surgically managed ovarian tumours.

Methods We conducted a retrospective study by collecting the data of patients operated in the department of Obstetrics and Gynecology at Chettinad Hospital and Research Institute, Kelambakkam. A total of 118 case records were studied.

Results 20.3% were nulliparous. 79.7% were multiparous. 10.2% were 60 years. 72.9% were premenopausal. 27.1% were postmenopausal. 25.4% presented with acute abdominal pain, 11.9% with mass abdomen, 30.5% with chronic pain abdomen and 32.2% were incidentally diagnosed. 20.4% underwent ovarian cystectomy, 18.6% ovariotomy, 30.5% salpingoophorectomy and 30.5% total abdominal hystrectomy with bilateral salpingoophorectomy. Most common histopathology report was simple cyst in 44.%. 31.3% had serous cystadenoma, 9.3% had mucinous cystadenoma, 9.3% had teratoma, 2.5% had brenner tumour, 1.7% borderline tumours and 1.7% malignancy (Serous cystadenocarcinoma).

Conclusions Elective surgical management of ovarian tumours is better option for reducing emergency laparotomies for torsion and rupture and also for obtaining a conclusive histopathological diagnosis in suspicious cases. The choice between laparoscopy and laparotomy should made after making appropriate preoperative evaluation.