Surgical management of benign ovarian tumors in pregnancy

Barinov S.V., Gachkailo I.А., Lazareva О.V., Shkabarnya L.L.

1) Omsk State Medical University of Minzdrav of Russia, Omsk, Russia; 2) Omsk Regional Clinical Hospital, Omsk, Russia
Aim. To improve diagnosis and treatment outcomes of benign ovarian tumors (BOT) in pregnancy.
Materials and methods. The study comprised 62 pregnant patients who underwent laparoscopic (n = 47) and laparotomic (n = 15) surgery for BOT. A between-group comparative analysis of clinical data was conducted.
Results. Morphological types of BOT included teratoma (6/17), mucinous cystadenoma (1/17), simple serous cyst (5/17), follicular cyst (3/17), and endometriosis (2/17). The study findings showed a significant increase in the size of BOTs during pregnancy (p = 0.0003). Laparoscopic access was associated with less blood loss (p = 0.0003) and pain (p = 0.001), which helped avoid postoperative narcotic analgesics; hospital stay was shorter (p = 0.04).
Conclusion. Early diagnosis and treatment of BOT allow prolongation of pregnancy to the full-term birth with the prevention of pregnancy complications.


benign ovarian tumors
ovarian cancer


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Received 19.12.2019

Accepted 26.12.2019

About the Authors

Sergey V. Barinov, MD, Professor, Head of the Department of Obstetrics and Gynecology №2. State Educational Institution of Higher Professional Education “Omsk State Medical University” Ministry of Health of the Russian FederationTel.: +73812240658. E-mail: ORCID: 0000-0002-0357-70977.
644099, Russia, Omsk, Lenina str. 12.
Ivan A. Gachkaylo, 1-year clinical intern of obstetrics and gynecology №2. State Educational Institution of Higher Professional Education “Omsk State Medical University” Ministry of Health of the Russian Federation. Tel.: +79136543400. E-mail:
644099, Russia, Omsk, Lenina str., 12.
Oksana Vy. Lazareva, PhD, associate Professor of the Department of Obstetrics and Gynecology №2. State Educational Institution of Higher Professional Education
“Omsk state medical University” Ministry of Health of the Russian Federation. Tel.: +79045846699. E-mail: ORCID: 0000-0002-0895-4066.
644099, Russia, Omsk, Lenina str. 12.
Lyudmila L. Shkabarnya, head of the gynecology department. Affordable Health Care Institution of Omsk Region “Regional Hospital”. Tel.: +73812251578.
E-mail: ORCID: 0000-0001-6080-1828.
644111, Russia, Omsk, Berezovaya str., 3.

For citation: Barinov S.V., Gachkailo I.А., Lazareva О.V., Shkabarnya L.L. Surgical management of benign ovarian tumors in pregnancy.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 1(Suppl):50-5. (in Russian)

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