Adnexal malignancies encompass ovarian and tubal cancer. Fallopian tube cancer is much less common than ovarian cancer and is diagnosed and managed in a similar way. Laparotomy has for long been the mainstay of surgical management of these conditions, even though laparoscopy has been routinely used in the diagnosis of adnexal masses. The need for routine midline laparotomy was the result of requirement for hysterectomy, omentectomy, comprehensive lymph node dissections, biopsies in any part of the abdomen, and appendectomy even in the case of early adnexal malignancy.
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