Laparoscopic management of organic XXXX : is there a place for frozen section diagnosis?

@entity1 @entity42 @entity4134
Only benign @entity42 can be treated by laparoscopic surgery. Although clinical examination and the results of pre-operative work-up do make a real contribution in indicating the benign or malignant nature of cysts, only histology can provide the absolute diagnosis. In this context, the goal of this study was to establish whether there is any advantage in performing frozen section during laparoscopic surgical management of organic @entity42 . Between January 1989 and March 1996, 228 @entity1 underwent an adnexectomy for an ovarian mass. After the pre-operative work-up and the diagnostic phase of laparoscopy, 26 @entity1 (11.4%) presented with suspected signs of malignancy restricted purely to the ovary. These 26 @entity1 underwent a laparoscopic adnexectomy with extraction of the excised tissues using an endoscopic bag, followed by frozen section. For all these @entity1 the results of the frozen section concluded that the lesion was benign. In every case the definitive histological results confirmed the frozen section findings. This strategy enabled us to avoid laparotomy, especially for the nine post-menopausal @entity1 whose @entity4134 appeared to be complex by ultrasound. These encouraging preliminary results need to be confirmed by a larger series of @entity1 , so as to specify the place of frozen section in the laparoscopic surgical management of organic @entity42 .
