Laparoscopic adnexectomy in postmenopausal women.

Postmenopausal palpable ovaries and pelvic masses require histologic examination to preclude missing ovarian carcinomas. However, the majority of such lesions are benign. Of 44 such patients, 42 (95.4%) underwent successful management with laparoscopic adnexectomy. The average operating time was 115.8 minutes, and 40 patients were discharged the day of surgery. Thirty-eight patients had a blood loss of less than or equal to 50 mL. The laparoscopic procedures were well tolerated and allowed the patients to return rapidly to normal activity.