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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 02
Analysis of Age Wise Distribution and Operative Pattern in Patients Operated for Ovarian Cyst or Mass in a Tertiary Care Center of Northern Himalayan Region
Mahima Rani
Published: Feb. 16, 2019 | 224 94
DOI: 10.36347/sjams.2019.v07i02.027
Pages: 563-566
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Abstract
Objective: This study was carried out to find the age wise distribution pattern of patients operated for ovarian cyst or mass and also to analyze the operative pattern in these patients. Method: We retrospectively analyzed the medical records of patients who underwent surgeries in Govt. Medical college, Haldwani from February 2015 to February 2018 of all age group and divided the data according to different age group 0-20yrs, 21-40yrs, and then >40yrs and then collaborated the finding according to which age group contributed to what percentage of total surgical cases under study. The cases were further analyzed to study the operative pattern followed. Result: There were total 80 cases Operated for ovarian cyst or mass during the period from Feb 2015 to Feb 2018. 4 cases (5%) belong to age group 0-20yrs, 47cases (58.7%) belong to age group 21-40yrs and 29cases (36.3%) belong to age group >40yrs. In the age group of 0-20yrs there were 2 cases (2.5%) of cystectomy and 2cases (2.5%) of oophorectomy. In the age group 21-40yrs there were 19 cystectomies (23.7%), 13 oopherectomy (16.25%) and 15 hysterectomies with unilateral or bilateral salpingo-oopherectomy (18.75%).In the age group >40yrs there were 25 cases (31.25%) of hysterectomy with unilateral or bilateral salpingo- oophorectomy, 2 cases (2.5%) of cystectomy, 1 case (1.25%) of salpingo-oopherectomy and 1 case (1.25%) Diagnostic Laparoscopy. Conclusion: Ovarian cyst/mass are most commonly seen in reproductive age group. Whenever surgical management is adopted it should be aimed towards ovarian conservation except in case of postmenopausal women, in cases where these is no viable ovarian tissue or when there is borderline or malignant ovarian mass. Laparoscopy is modality of choice in presence of sufficient expertise and experience.