Comparison Between Ultrasonographic Findings & Laparoscopic Findings Of Adnexal Masses

Abstract

Introduction: The laparoscopic approach is effective and safe for managing patients with adnexal masses. Malignancies can be diagnosed accurately, converted to laparotomy, and staged appropriately. On the other hand, pelvic ultrasonography is generally used as part of routine gynecologic checkups, resulting in the diagnosis of adnexal masses. Aim of the study: The study aims to determine the comparison between ultrasonography & laparoscopic findings among patients attending tertiary level Hospitals in
Bangladesh. Methods: A comparative study was carried out in the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University, Dhaka from March 2016 to August 2016. A total of 50 patients were enrolled in this study following the inclusive criteria. Data were collected using the predesigned semi-structured questionnaire. Verbal consent was taken before recruiting the study population. Completed data forms were reviewed, edited, and processed for computer data entry. The data analysis was performed using Statistical Package for the Social Sciences (SPSS) Windows Version. Result: Most of the study population (17,34.0%) were in the age group twenty-six to thirty. The mean age was 27.82±5.37. The primary complaints in more than half of the study population (27,54.0%) were dysmenorrhea, around two-fifth of the patients (21,42%) had infertility and fourteen patients had abnormal uterine bleeding. Based on ultrasonography findings, eight patients (8,16.0%) had an ovarian cyst, the majority of patients (13,26.0%) had tubo ovarian mass, followed by endometriosis cyst found in twelve patients (12,24.0%) and bthree patients (3,6.0%) had hydrosalpinx tube. Based on laparoscopic findings, most of the patients (22,44.0%) had enlarged uterus, around one-third of the patients (14,28.0%) had an ovarian cyst, six patients (6,12.0%) had periovarian adhesions, and seven patients (7,14.0%) had endometriosis cyst. Conclusion: This study observed comparison between ultrasonography & laparoscopic findings. Ultrasonography should be the primary imaging modality used to identify and characterize adnexal masses, As it is readily available, yet most people prefer laparoscopy.