Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales

Desde la década pasada la cirugía mínimamente invasiva ha llegado a ser parte de casi todos los campos quirúrgicos. El ginecólogo estuvo entre los primeros en reconocer el potencial del abordaje laparoscopico para el manejo de varios problemas ginecológicos benignos. La laparoscopia ofrece varias ve...

Full description

Autores:: Noriega Rangel, Javier
Escobar, Pedro F

Tipo de recurso:: Article of journal

Fecha de publicación:: 2005

Institución:: Universidad Autónoma de Bucaramanga - UNAB

Repositorio:: Repositorio UNAB

Idioma:: spa

id	UNAB2_f0c8104737fc92bf8e391403ed1dbbe8
oai_identifier_str	oai:repository.unab.edu.co:20.500.12749/10434
network_acronym_str	UNAB2
network_name_str	Repositorio UNAB
repository_id_str
dc.title.none.fl_str_mv	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
dc.title.translated.eng.fl_str_mv	Anatomical and surgical considerations for minimally invasive surgery of adnexal mass lesions
title	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
spellingShingle	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales Ciencias de la salud Medicina Ciencias médicas Innovaciones en salud Investigaciones Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research Laparoscopy Ultrasonography Adnexal mass Doppler CA-125 Ovarian cancer Transvaginal ultrasound Ciencias biomédicas Ciencias de la vida Innovaciones en salud Laparoscopia Ultrasonografía Masa anexial Doppler Cáncer ovárico Ultrasonografía transvagina
title_short	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
title_full	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
title_fullStr	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
title_full_unstemmed	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
title_sort	Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales
dc.creator.fl_str_mv	Noriega Rangel, Javier Escobar, Pedro F
dc.contributor.author.spa.fl_str_mv	Noriega Rangel, Javier Escobar, Pedro F
dc.subject.none.fl_str_mv	Ciencias de la salud Medicina Ciencias médicas Innovaciones en salud Investigaciones
topic	Ciencias de la salud Medicina Ciencias médicas Innovaciones en salud Investigaciones Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research Laparoscopy Ultrasonography Adnexal mass Doppler CA-125 Ovarian cancer Transvaginal ultrasound Ciencias biomédicas Ciencias de la vida Innovaciones en salud Laparoscopia Ultrasonografía Masa anexial Doppler Cáncer ovárico Ultrasonografía transvagina
dc.subject.keywords.eng.fl_str_mv	Health Sciences Medicine Medical Sciences Biomedical Sciences Life Sciences Innovations in health Research
dc.subject.keywords.none.fl_str_mv	Laparoscopy Ultrasonography Adnexal mass Doppler CA-125 Ovarian cancer Transvaginal ultrasound
dc.subject.lemb.none.fl_str_mv	Ciencias biomédicas Ciencias de la vida Innovaciones en salud
dc.subject.proposal.none.fl_str_mv	Laparoscopia Ultrasonografía Masa anexial Doppler Cáncer ovárico Ultrasonografía transvagina
description	Desde la década pasada la cirugía mínimamente invasiva ha llegado a ser parte de casi todos los campos quirúrgicos. El ginecólogo estuvo entre los primeros en reconocer el potencial del abordaje laparoscopico para el manejo de varios problemas ginecológicos benignos. La laparoscopia ofrece varias ventajas sobre la laparotomía. La anatomía pélvica y abdominal aparece magnificada permitiendo un diagnostico y manejo preciso de la enfermedad adyacente a órganos vitales, vasos sanguíneos y estructuras neurales. Beneficios adicionales de la laparoscopia incluyen sangrado mínimo de los pequeños vasos ayudado por el pneumoperitoneo, eliminación de grandes incisiones, menos formación de adherencias, de ambulacion temprana y rápida recuperación, corta estancia hospitalaria y menos costos para el paciente y hospital. Aunque el examen clínico y los resultados del estudio prequirúrgico frecuentemente indican la naturaleza benigna o maligna de de las masas anexiales, solo la histología puede proveer el diagnostico absoluto. Cuando un tumor maligno es detectado de inmediato se debe realizar una clasificación del estadio por laparoscopia o laparotomía. La laparoscopia operatoria para evaluación y manejo de masas anexiales cuando es practicada por un cirujano entrenado en cirugía laparoscopica avanzada es segura ,efectiva y asociada con menos morbilidad comparada con las técnicas abiertas.
publishDate	2005
dc.date.issued.none.fl_str_mv	2005-08-03
dc.date.accessioned.none.fl_str_mv	2020-10-27T14:21:45Z
dc.date.available.none.fl_str_mv	2020-10-27T14:21:45Z
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.driver.none.fl_str_mv	info:eu-repo/semantics/article
dc.type.local.spa.fl_str_mv	Artículo
dc.type.coar.none.fl_str_mv	http://purl.org/coar/resource_type/c_6501
dc.type.redcol.none.fl_str_mv	http://purl.org/redcol/resource_type/ART
format	http://purl.org/coar/resource_type/c_6501
dc.identifier.issn.none.fl_str_mv	2382-4603 0123-7047
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/20.500.12749/10434
dc.identifier.instname.spa.fl_str_mv	instname:Universidad Autónoma de Bucaramanga UNAB
dc.identifier.repourl.none.fl_str_mv	repourl:https://repository.unab.edu.co
identifier_str_mv	2382-4603 0123-7047 instname:Universidad Autónoma de Bucaramanga UNAB repourl:https://repository.unab.edu.co
url	http://hdl.handle.net/20.500.12749/10434
dc.language.iso.spa.fl_str_mv	spa
language	spa
dc.relation.none.fl_str_mv	https://revistas.unab.edu.co/index.php/medunab/article/view/201/184
dc.relation.uri.none.fl_str_mv	https://revistas.unab.edu.co/index.php/medunab/article/view/201
dc.relation.references.none.fl_str_mv	ermesh M, Silva PD, Rosen GF, Stein AL, Fossum GT, Sauer MV. Management of unruptured ectopic gestation by linear salpingostomy: a prospective, randomized clinical trial of lapa-roscopy versus laparotomy. Obstet Gynecol 1989; 73:400-4 Murphy AA, Nager CW, WujekJJ, Kettel LM, Torp VA, Chin HG. Operative laparoscopy versus laparotomy for the management of ectopic pregnancy: a prospective trial. Fertil Steril 1992; 57:1180-5 Malur S, Possover M, Michels W, Schneider A. Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer--a prospective randomized trial. Gynecol Oncol 2001; 80:239-44 Theodoridis TD, Bontis. Laparoscopy and oncology: where do we stand today? Ann N Y Acad Sci 2003; 997:282-91 Nezhat CH, Nezhat F, Brill A, Nezhat C. Normal variation of abdominal and pelvic anatomy evaluated at laparoscopy. Obstet Gynecol 1999; 94:238-42 Zahi H, Penketh R, Newton J. Gynecological laparoscopy audit: Birmingham experience. Gynecol Endocrinol 1995; 4:251-7 Aharoni A, Condea A, Leitbovitz Z. A comparative study of Foley catheter and suturing to control trocar-induced abdominal wall heamorrhage. Gynecol Endocrinol 1997; 6:31- Vasquez JM. Vascular complications of laparoscopic surgery. J Am Assoc Gynecol Laparosc 1994; 1:163-7 Spitzer M, Golden P, Rehwaldt L, Benjamin F. Repair of laparos-copic injury to abdominal wall arteries complicated by cutaneous necrosis. J Am Assoc Gynecol Laparosc 1996; 3:449-52 Hurd WW, Bude RO, DeLancey JO, Newman JS. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol 1994; 171:642-6 Quint EH, Wang FL, Hurd WW. Laparoscopic translumination for the location of anterior abdominal wall blood vessels. J La-paroendosc Surg 1996; 6:167-9 Saber AA, Meslemani AM, Davis R, Pimentel R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg 2004; 239:182-5 Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocars placement and low transverse incisions. Am J Obstet Gynecol 2003; 189:1574-8; discussion 1578 Mirhashemi R, Harlow BL, Ginsburg ES, Signorello LB, Ber-kowitz R, Feldman S. Predicting risk of complications with gynecologic laparoscopic surgery. Obstet Gynecol 1998; 92:327-31 Cardosi RJ, Cox CS, Hoffman MS. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol 2002; 100:240-4 Leonard F, Lecuru F, Rizk E, Chasset S, Robin F, Taurelle R. Perioperative morbidity of gynecological laparoscopy. A pros-pective monocenter observational study. Acta Obstet Gynecol Scand 2000; 79:129-34 Hurd WW, Bude RO. The location of abdominal wall vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol 1994; 171:624-6 Roman LD, Felix JC, Muderspach LI, Agahjanian A, Qian D, Morrow CP. Pelvic examination, tumor marker, grey scale and doppler sonography in prediction of pelvic. Obstet Gynecol 1997; 89:493-500 Parker WH, Berek JS. Laparoscopic management of adnexal masses. Obstet Gynecol Clin N Am 1994; 21:79-92 Nezhat F, Nezhat CH, Welander CE. Four ovarian cancer diag-nosed during laparoscopic management of 10111 women with adnexal masses. Am J Obstet Gynecol 1992; 167:790-6 Hulka JK, Parker WH, Surrey MW. America association of Gynecologic laparoscopist survey of management of adnexal masses in 1990. J Reprod Med 1992; 37:599-602 Barber HR, Graber EA. The postmenopausal palpable ovary syndrome. Obstet Gynecol 1971; 38:921 Padilla LA, Radosevich DM, Milad MP. Accuracy of the pelvic exam in detecting adnexal masses. Obstet Gynecol 2000; 96A:593-8 Brown DL, Doubilet PM, Miller FH, Frates MC, Laing FC, Di Salvo DN, et al. Benign and malignant ovarian masses: selection of the most discriminating gray-scale and Doppler sonographic features. Radiology 1998; 208:103-10 Hermmann UJ, Locher GW, Goldhirsh A. Sonographic patterns of ovarian tumors: prediction of malignancy. Obstet Gynecol 1987;69:777-81 Funt SA, Hann LE. Detection and characterization of adnexal mass. Radiol Clin N Am 2002; 40:591-608 Guerreiro S, Ajossa S, Risalvato A, Risalvato A, Lai MP, Melis GB. Diagnosis of adnexal malignancies by using color doppler energy imaging as a secondary test in persistent masse. Ultra-sound Obstet Gynecol 1998; 11:277-82 Christiansen C, Puscheck E. Adnexal masses. Postgr Obstet Gynecol 2002; 22:1- 8 Laing F, Brown D, Disalvo D. Update on ultrasonography: gy-necologic ultrasound. Radiol Clin N Am 2001; 39:523-40 Mol BW, Bol D, De Kanter M, Heintz AP, Sijmons EA, Oei SG, etal. Distinguishing the benign and malignant adnexal mass: An external validation of prognosis models. Gynecol Oncol 2001; 80:162-7 Valentin L, Saldkevicius P, Marsal K. Limited contribution of doppler velocimetry to the differential diagnosis of extrauterine pelvic tumors. Obstet Gynecol 1994; 83:425-33 DePriest PD, Varner E, Powell J, Fried A, Puls L, Higgins R, et al. The efficacy of a sonographic morphology index in identifying ovarian cancer: a multiinstitutional investigation. Gynecol Oncol 1994; 55:174Ц8 Timmerman D, Schwarzler P, Collins WP, Claerhout F, Coenen M, Amart F, et al. Subjective assessment of adnexal masses with the use of ultrasonography: an analysis of interobserver variability and experience. Ultrasound Obstet Gynecol 1999; 13:8Ц10. Schelling M, Braun M, Kuhn W, Bogner G, Gruber R, Gnirs J,et al. Combined transvaginal B-mode and color Doppler so-nography for differential diagnosis of ovarian tumors: results of multivariate logistic regression analysis. Gynecol Oncol 2000; 77:78-86 Zannetta G, Ferrazi E, Dordoni D, et al. Sonographic diagnosis of small adnexal masses: a multi-institutional study. Obstet Gynecol Comm 1999; 5:16-22 Weinreb JC, Barkoff ND, Megibow A, Demopoulos R. The value of MRI in distinguishing leiomyomas from other solid pelvic masses when sonography is indeterminate. Am J Roentgenol 1990; 154:295-9 Vasilev S, Schlaerth J, Campeau J, Morrow P. Serum Ca-125 levels in preoperative evaluation of pelvic masses. Obstet Gy-encol 1988; 71:751-6 Soderstrom RM. Operative laparoscopy. The Master’s tech-niques in gynecologic surgery. Philadelphia, New York, 2 ed, 1998 Havrilesky LJ, Peterson BL, Dryden DK, Soper JT, Clarke-Pearson DL, Berchuck A. Predictors of clinical outcomes in the laparoscopic management of adnexal masses. Obstet Gynecol 2003; 102:243-51
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
dc.rights.uri.none.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/2.5/co/
rights_invalid_str_mv	http://creativecommons.org/licenses/by-nc-nd/2.5/co/ http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.spa.fl_str_mv	application/pdf
dc.publisher.none.fl_str_mv	Universidad Autónoma de Bucaramanga UNAB
dc.publisher.faculty.none.fl_str_mv	Facultad Ciencias de la Salud
dc.publisher.program.none.fl_str_mv	Pregrado Medicina
publisher.none.fl_str_mv	Universidad Autónoma de Bucaramanga UNAB
dc.source.none.fl_str_mv	MedUNAB; Vol. 8 Núm. 2 (2005): Especial Salud de la Mujer; 151-158
institution	Universidad Autónoma de Bucaramanga - UNAB
bitstream.url.fl_str_mv	https://repository.unab.edu.co/bitstream/20.500.12749/10434/1/2005_Consideraciones_anat%c3%b3micas_y_quir%c3%bargicas.pdf https://repository.unab.edu.co/bitstream/20.500.12749/10434/2/2005_Consideraciones_anat%c3%b3micas_y_quir%c3%bargicas.pdf.jpg
bitstream.checksum.fl_str_mv	343e9b49bc8cca0a76d88691c73f8d60 08007105abf06f962ecc612587eab1c1
bitstream.checksumAlgorithm.fl_str_mv	MD5 MD5
repository.name.fl_str_mv	Repositorio Institucional \| Universidad Autónoma de Bucaramanga - UNAB
repository.mail.fl_str_mv	repositorio@unab.edu.co
_version_	1814277336318607360
spelling	Noriega Rangel, Javier922608ad-df66-4586-9a94-c9b61e097817Escobar, Pedro F73d01fab-f86c-45c5-95f0-cbae720ff3482020-10-27T14:21:45Z2020-10-27T14:21:45Z2005-08-032382-46030123-7047http://hdl.handle.net/20.500.12749/10434instname:Universidad Autónoma de Bucaramanga UNABrepourl:https://repository.unab.edu.coDesde la década pasada la cirugía mínimamente invasiva ha llegado a ser parte de casi todos los campos quirúrgicos. El ginecólogo estuvo entre los primeros en reconocer el potencial del abordaje laparoscopico para el manejo de varios problemas ginecológicos benignos. La laparoscopia ofrece varias ventajas sobre la laparotomía. La anatomía pélvica y abdominal aparece magnificada permitiendo un diagnostico y manejo preciso de la enfermedad adyacente a órganos vitales, vasos sanguíneos y estructuras neurales. Beneficios adicionales de la laparoscopia incluyen sangrado mínimo de los pequeños vasos ayudado por el pneumoperitoneo, eliminación de grandes incisiones, menos formación de adherencias, de ambulacion temprana y rápida recuperación, corta estancia hospitalaria y menos costos para el paciente y hospital. Aunque el examen clínico y los resultados del estudio prequirúrgico frecuentemente indican la naturaleza benigna o maligna de de las masas anexiales, solo la histología puede proveer el diagnostico absoluto. Cuando un tumor maligno es detectado de inmediato se debe realizar una clasificación del estadio por laparoscopia o laparotomía. La laparoscopia operatoria para evaluación y manejo de masas anexiales cuando es practicada por un cirujano entrenado en cirugía laparoscopica avanzada es segura ,efectiva y asociada con menos morbilidad comparada con las técnicas abiertas.During the past decade, minimally invasive surgery has become a part of almost every surgical field. The gynecologic surgeons were among the first to recognize the potentials of laparoscopic appro-ach for management of various benign gynecologic problems. The laparoscopic approach offers several advantages over laparotomy. Pelvic and abdominal anatomy appears magnified, allowing precise diagnosis and treatment of the disease adjacent to vital organs, blood vessels, and nerve structures. Additional benefits of laparoscopic approach include minimized bleeding from small vessels afforded by pneumoperitoneum, the elimination of large abdominal incision, less adhesion formation, early ambulation and faster recovery, shorter hospital stay, and less cost to the patient and hospital. Although clinical examination and the results of preoperative work-up often indicate the benign or malignant nature of the adnexal mass, only histology can provide the absolute diagnosis. When malignancy is detected, immediate surgical staging by laparoscopy or by la-parotomy is indicated. Operative laparoscopy for evaluation and management of adnexal masses, when performed by a surgeon trained in advanced laparoscopic techniques, is safe and effective and associated with less morbidity compared with open techniques. [Noriega J, Escobar PF. Anatomical and surgical considerations for minimally invasive surgery of adnexal mass lesions. MedUNABapplication/pdfspaUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludPregrado Medicinahttps://revistas.unab.edu.co/index.php/medunab/article/view/201/184https://revistas.unab.edu.co/index.php/medunab/article/view/201ermesh M, Silva PD, Rosen GF, Stein AL, Fossum GT, Sauer MV. Management of unruptured ectopic gestation by linear salpingostomy: a prospective, randomized clinical trial of lapa-roscopy versus laparotomy. Obstet Gynecol 1989; 73:400-4Murphy AA, Nager CW, WujekJJ, Kettel LM, Torp VA, Chin HG. Operative laparoscopy versus laparotomy for the management of ectopic pregnancy: a prospective trial. Fertil Steril 1992; 57:1180-5Malur S, Possover M, Michels W, Schneider A. Laparoscopic-assisted vaginal versus abdominal surgery in patients with endometrial cancer--a prospective randomized trial. Gynecol Oncol 2001; 80:239-44Theodoridis TD, Bontis. Laparoscopy and oncology: where do we stand today? Ann N Y Acad Sci 2003; 997:282-91Nezhat CH, Nezhat F, Brill A, Nezhat C. Normal variation of abdominal and pelvic anatomy evaluated at laparoscopy. Obstet Gynecol 1999; 94:238-42Zahi H, Penketh R, Newton J. Gynecological laparoscopy audit: Birmingham experience. Gynecol Endocrinol 1995; 4:251-7Aharoni A, Condea A, Leitbovitz Z. A comparative study of Foley catheter and suturing to control trocar-induced abdominal wall heamorrhage. Gynecol Endocrinol 1997; 6:31-Vasquez JM. Vascular complications of laparoscopic surgery. J Am Assoc Gynecol Laparosc 1994; 1:163-7Spitzer M, Golden P, Rehwaldt L, Benjamin F. Repair of laparos-copic injury to abdominal wall arteries complicated by cutaneous necrosis. J Am Assoc Gynecol Laparosc 1996; 3:449-52Hurd WW, Bude RO, DeLancey JO, Newman JS. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol 1994; 171:642-6Quint EH, Wang FL, Hurd WW. Laparoscopic translumination for the location of anterior abdominal wall blood vessels. J La-paroendosc Surg 1996; 6:167-9Saber AA, Meslemani AM, Davis R, Pimentel R. Safety zones for anterior abdominal wall entry during laparoscopy: a CT scan mapping of epigastric vessels. Ann Surg 2004; 239:182-5Whiteside JL, Barber MD, Walters MD, Falcone T. Anatomy of ilioinguinal and iliohypogastric nerves in relation to trocars placement and low transverse incisions. Am J Obstet Gynecol 2003; 189:1574-8; discussion 1578Mirhashemi R, Harlow BL, Ginsburg ES, Signorello LB, Ber-kowitz R, Feldman S. Predicting risk of complications with gynecologic laparoscopic surgery. Obstet Gynecol 1998; 92:327-31Cardosi RJ, Cox CS, Hoffman MS. Postoperative neuropathies after major pelvic surgery. Obstet Gynecol 2002; 100:240-4Leonard F, Lecuru F, Rizk E, Chasset S, Robin F, Taurelle R. Perioperative morbidity of gynecological laparoscopy. A pros-pective monocenter observational study. Acta Obstet Gynecol Scand 2000; 79:129-34Hurd WW, Bude RO. The location of abdominal wall vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol 1994; 171:624-6Roman LD, Felix JC, Muderspach LI, Agahjanian A, Qian D, Morrow CP. Pelvic examination, tumor marker, grey scale and doppler sonography in prediction of pelvic. Obstet Gynecol 1997; 89:493-500Parker WH, Berek JS. Laparoscopic management of adnexal masses. Obstet Gynecol Clin N Am 1994; 21:79-92Nezhat F, Nezhat CH, Welander CE. Four ovarian cancer diag-nosed during laparoscopic management of 10111 women with adnexal masses. Am J Obstet Gynecol 1992; 167:790-6Hulka JK, Parker WH, Surrey MW. America association of Gynecologic laparoscopist survey of management of adnexal masses in 1990. J Reprod Med 1992; 37:599-602Barber HR, Graber EA. The postmenopausal palpable ovary syndrome. Obstet Gynecol 1971; 38:921Padilla LA, Radosevich DM, Milad MP. Accuracy of the pelvic exam in detecting adnexal masses. Obstet Gynecol 2000; 96A:593-8Brown DL, Doubilet PM, Miller FH, Frates MC, Laing FC, Di Salvo DN, et al. Benign and malignant ovarian masses: selection of the most discriminating gray-scale and Doppler sonographic features. Radiology 1998; 208:103-10Hermmann UJ, Locher GW, Goldhirsh A. Sonographic patterns of ovarian tumors: prediction of malignancy. Obstet Gynecol 1987;69:777-81Funt SA, Hann LE. Detection and characterization of adnexal mass. Radiol Clin N Am 2002; 40:591-608Guerreiro S, Ajossa S, Risalvato A, Risalvato A, Lai MP, Melis GB. Diagnosis of adnexal malignancies by using color doppler energy imaging as a secondary test in persistent masse. Ultra-sound Obstet Gynecol 1998; 11:277-82Christiansen C, Puscheck E. Adnexal masses. Postgr Obstet Gynecol 2002; 22:1- 8Laing F, Brown D, Disalvo D. Update on ultrasonography: gy-necologic ultrasound. Radiol Clin N Am 2001; 39:523-40Mol BW, Bol D, De Kanter M, Heintz AP, Sijmons EA, Oei SG, etal. Distinguishing the benign and malignant adnexal mass: An external validation of prognosis models. Gynecol Oncol 2001; 80:162-7Valentin L, Saldkevicius P, Marsal K. Limited contribution of doppler velocimetry to the differential diagnosis of extrauterine pelvic tumors. Obstet Gynecol 1994; 83:425-33DePriest PD, Varner E, Powell J, Fried A, Puls L, Higgins R, et al. The efficacy of a sonographic morphology index in identifying ovarian cancer: a multiinstitutional investigation. Gynecol Oncol 1994; 55:174Ц8Timmerman D, Schwarzler P, Collins WP, Claerhout F, Coenen M, Amart F, et al. Subjective assessment of adnexal masses with the use of ultrasonography: an analysis of interobserver variability and experience. Ultrasound Obstet Gynecol 1999; 13:8Ц10.Schelling M, Braun M, Kuhn W, Bogner G, Gruber R, Gnirs J,et al. Combined transvaginal B-mode and color Doppler so-nography for differential diagnosis of ovarian tumors: results of multivariate logistic regression analysis. Gynecol Oncol 2000; 77:78-86Zannetta G, Ferrazi E, Dordoni D, et al. Sonographic diagnosis of small adnexal masses: a multi-institutional study. Obstet Gynecol Comm 1999; 5:16-22Weinreb JC, Barkoff ND, Megibow A, Demopoulos R. The value of MRI in distinguishing leiomyomas from other solid pelvic masses when sonography is indeterminate. Am J Roentgenol 1990; 154:295-9Vasilev S, Schlaerth J, Campeau J, Morrow P. Serum Ca-125 levels in preoperative evaluation of pelvic masses. Obstet Gy-encol 1988; 71:751-6Soderstrom RM. Operative laparoscopy. The Master’s tech-niques in gynecologic surgery. Philadelphia, New York, 2 ed, 1998Havrilesky LJ, Peterson BL, Dryden DK, Soper JT, Clarke-Pearson DL, Berchuck A. Predictors of clinical outcomes in the laparoscopic management of adnexal masses. Obstet Gynecol 2003; 102:243-51http://creativecommons.org/licenses/by-nc-nd/2.5/co/http://purl.org/coar/access_right/c_abf2MedUNAB; Vol. 8 Núm. 2 (2005): Especial Salud de la Mujer; 151-158Ciencias de la saludMedicinaCiencias médicasInnovaciones en saludInvestigacionesHealth SciencesMedicineMedical SciencesBiomedical SciencesLife SciencesInnovations in healthResearchLaparoscopyUltrasonographyAdnexal massDopplerCA-125Ovarian cancerTransvaginal ultrasoundCiencias biomédicasCiencias de la vidaInnovaciones en saludLaparoscopiaUltrasonografíaMasa anexialDopplerCáncer ováricoUltrasonografía transvaginaConsideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexialesAnatomical and surgical considerations for minimally invasive surgery of adnexal mass lesionsinfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_6501http://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/redcol/resource_type/ARTORIGINAL2005_Consideraciones_anatómicas_y_quirúrgicas.pdf2005_Consideraciones_anatómicas_y_quirúrgicas.pdfArticuloapplication/pdf1081933https://repository.unab.edu.co/bitstream/20.500.12749/10434/1/2005_Consideraciones_anat%c3%b3micas_y_quir%c3%bargicas.pdf343e9b49bc8cca0a76d88691c73f8d60MD51open accessTHUMBNAIL2005_Consideraciones_anatómicas_y_quirúrgicas.pdf.jpg2005_Consideraciones_anatómicas_y_quirúrgicas.pdf.jpgIM Thumbnailimage/jpeg9635https://repository.unab.edu.co/bitstream/20.500.12749/10434/2/2005_Consideraciones_anat%c3%b3micas_y_quir%c3%bargicas.pdf.jpg08007105abf06f962ecc612587eab1c1MD52open access20.500.12749/10434oai:repository.unab.edu.co:20.500.12749/104342022-11-25 12:59:55.206open accessRepositorio Institucional \| Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.co

Consideraciones anatómicas y quirúrgicas de la cirugía mínimamente invasiva de las masas anexiales

Publicaciones similares