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Our study aims to investigate patients with adnexal masses without known pathologies in conjunction with their demographic data, patient history, length of hospitalization, complications, ratio of approaching patients laparoscopically or with laparotomy, and pathological findings. Patient data were collected retrospectively by browsing patient filed. Besides clinical information such as length of hospitalization, used surgical technique, whether there was a transition to laparotomy, whether there was a perioperative complication, and pathological examination results of the sample taken, data like the radiological size of the mass, number of previous operations, circumstances that lead to comorbidity, age, and state of menopause during surgery were collected. Among 110 patients, 48 (43.6%) were applied laparoscopy, while 56 (50.9) were applied laparotomy. The mean length of surgery was 107.4±53.8 minutes (40-181 mins.). Most seen surgery indications were persistent cyst seen in 55 patients (50%) and complex cyst seen in 16 patients (14.5%). In patients diagnosed with adnexal masses, distinguishing benign and malign masses by simultaneous usage of history, physical therapy, laboratory tests, and transvaginal ultrasonography, and deciding for laparoscopy and/or laparotomy based on this for treatment, is a highly reliable method. Ozet Calismamiz da patolojisi bilinmeyen adneksiyal kitlesi olan hastalarin, sosyodemografik verileri, hasta ozellikleri, hastanede yatis sureleri, komplikasyonlari, hastalara laparoskopik veya laparotomi ile yaklasim oranlari, patolojik bulgulari ile birlikte degerlendirilmesi amaclanmistir. Hasta bilgileri retrospektif olarak hasta dosyalarinin taranmasi sonucu elde edilmistir. Hastanede kalis suresi, perioperatif komplikasyon, kullanilan cerrahi teknik, laparotomiye gecis olup olmadigi, alinan materyalin patolojik inceleme sonucu gibi klinik bilgilerin yaninda radyolojik olarak kitlenin boyutu, daha once gecirilmis ameliyat sayisi, komorbidite olusturan durumlar, cerrahi esnasinda menopoz durumu ve yas gibi bilgiler  degerlendirilmistir. 110 hastanin 48 (%43,6) ine laparoskopi, 56 (%50,9) sina laparotomi yapilmistir. Ameliyat suresi ortalamasi 107,4±538 dakikadir  (40-181 dk.). En sik ameliyat endikasyonu, 55 hastada  (%50) saptanan persiste kist ve ikinci siklikta 16 hastada (%14,5) komplike kisttir. Adneksiyal kitle tanisi alan hastalarda, oyku, fizik muayene, laboratuvar tetkikleri, transvaginal ultrasonografi ile bir arada kullanilarak benign-malign ayiriminin yapilmasi ve buna gore laparoskopi ve/veya laparotomi ile tedavisi oldukca yuksek guvenilirlige sahiptir.

Adnexal masses: Clinical approach and pathological findings<p> Adneksiyal kitleler: Klinik yaklaşım ve patolojik bulgular