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Video Laparoscopic Management of Adnexal Masses With or Without Robotic Assistance

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Abstract

Adnexal masses are a common finding among women. They must be appropriately evaluated in order to determine the course of management. The majority of these masses have a benign etiology. However, it is the smaller percentage of malignant masses that are worrisome and must be ruled out. If misdiagnosed and mismanaged, these adnexal masses could result in significant morbidity and mortality to patients. The evaluation of an adnexal mass begins with a thorough history and physical exam. Imaging modalities, such as sonography, can aid in diagnosing and differentiating adnexal masses from other masses. Some laboratory tests can also help to distinguish the malignancy potential. The accumulation of this information can set the course of surveillance, medical management, or surgical intervention. If surgical treatment is pursued, a minimally invasive approach is the preferred method to maximize the benefit and minimize the morbidity to the patient. The surgical management and techniques vary for the different adnexal mass types, which can range from simple ovarian cysts, endometriomas, ovarian remnants, or suspected ovarian malignancies. It is necessary to have a great breadth and depth of the various laparoscopic techniques for surgically treating the various adnexal mass types.

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Authors and Affiliations

  1. Camran Nezhat Institute, Center for Special Minimally Invasive and Robotic Surgery, Palo Alto, CA, USA

    Camran Nezhat, Mailinh Vu & Nataliya Vang

  2. Brigham Women’s Hospital, Boston, MA, USA

    Louise P. King

  3. Beth Israel Deaconess Hospital, Boston, MA, USA

    Jennifer Cho

  4. Nezhat Surgery for Gynecology/Oncology, Valley Stream, NY, USA

    Farr Nezhat

  5. Weill Cornell Medical College of Cornell University, New York, NY, USA

    Farr Nezhat

  6. Stony Brook University School of Medicine, Stony Brook, NY, USA

    Farr Nezhat

  7. Minimally Invasive Gynecologic Surgery and Robotics, NYU Winthrop Hospital, Mineola, NY, USA

    Farr Nezhat

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  1. Camran Nezhat
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  2. Louise P. King
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  3. Jennifer Cho
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  4. Mailinh Vu
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Correspondence to Camran Nezhat .

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Editors and Affiliations

  1. Center for Advanced Thoracic Surgery, Global Robotics Institute Advent Health Celebration, Celebration, FL, USA

    Farid Gharagozloo

  2. Global Robotics Institute, Advent Health Celebration, Celebration, FL, USA

    Vipul R. Patel

  3. Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA

    Pier Cristoforo Giulianotti

  4. Department of Cardiothoracic Surgery, Three Crosses Regional Hospital, Las Cruces, NM, USA

    Robert Poston

  5. Department of Surgery, SUNY Downstate Medical Center, Brooklyn, NY, USA

    Rainer Gruessner

  6. Department of Surgery, Wellington Regional Medical Center, Wellington, FL, USA

    Mark Meyer

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Nezhat, C., King, L.P., Cho, J., Vu, M., Vang, N., Nezhat, F. (2021). Video Laparoscopic Management of Adnexal Masses With or Without Robotic Assistance. In: Gharagozloo, F., Patel, V.R., Giulianotti, P.C., Poston, R., Gruessner, R., Meyer, M. (eds) Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-53594-0_117

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