Ce protocole s'applique aux patientes préménopausées présentant une masse ovarienne symptomatique caractérisée comme bénigne à l'évaluation échographique. Dans cette population, l'approche chirurgicale doit équilibrer l'exérèse complète de la masse et la préservation de la fertilité et de la fonction hormonale.
Exérèse complète de la masse ovarienne avec préservation du tissu ovarien sain.
If surgery is performed for a symptomatic mass characterized as benign on ultrasound, ovarian cystectomy can be considered for premenopausal women if technically feasible (strong, low).
For ovarian masses in premenopausal women that are characterized as benign, ovarian cystectomy is preferred over oophorectomy in order to preserve fertility and hormonal function.
Laparoscopic ovarian cystectomy is the recommended surgical approach for removal of cystic masses, rather than fenestration and aspiration (strong, moderate).
Laparoscopy is the preferred approach for surgical management of the benign-appearing symptomatic ovarian mass because it is associated with shorter hospital stays, faster recovery times, and less pain and bleeding compared with laparotomy.
The goals of surgery for a symptomatic patient with a presumed benign ovarian mass should be to: (i) completely remove the mass, (ii) reduce the risk of recurrence, and (iii) preserve healthy ovarian tissue.
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