Objective: Our objective is to evaluate the safety and reliability of laparoscopy in the management of benign adnexal masses in patients with diversity of presentations through a retrospective study.

Methods: We analyzed data from 41 patients who were admitted to King Abdulaziz Hospital, Obstetrics and Gynecology Department through outpatient clinic, emergency department and referred from other hospitals. All patients were diagnosed as benign adnexal mass and underwent laparoscopy for both diagnostic confirmation and management. Laparoscopy was performed after fulfillment of the diagnostic work up of benign adnexal masses.

Results: All the study cases were operated successfully by operative laparoscopy. High BMI, pregnancy, and large adenexal masses were not limitations for the procedure. Fertility potentials were preserved in most of cases Long operative time was noticed. Operative and post operative parameters were comparable to former studies.

Conclusion: Laparoscopic approach can be considered the gold standard surgical approach for the management of benign adnexal masses. It can be offered for patients who want to preserve their fertility potential. It can be successfully performed on patients with benign adnexal masses regardless of the size of the mass and with low risk in patients with intraperitoneal adhesions when done by skilled team.