Laparoscopic management of ovarian dermoid cysts: a review of 47 cases

Koçak, Müberra; Dilbaz, Berna; Öztürk, Nilgün Turhan; Dede, Suat; Altay, Metin; Dilbaz, Serdar; Haberal, Alı

doi:10.5144/0256-4947.2004.357

Cited by 31 publications

(24 citation statements)

References 23 publications

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“…Ideally, they should have been operated without spillage; vigorous washing was done after tissue retrieval in all the cases. 11,12 Similar to our study, in a series by Shwaki et al, they had a spillage rate of 50% with no case of chemical peritonitis. 13 The operative time depends on the experience of the surgeon, size of the tumor and the adhesions present.…”

Section: Discussionsupporting

confidence: 75%

Initial Experiences of Laparoscopic Surgery at Nobel Medical College Teaching Hospital

Subedi¹,

GC²,

Lamichhane³

et al. 2016

J Lumbini Med Coll

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Introduction: The field of minimal invasive surgery has flowered explosively in the recent past. Modern endoscopy has changed the approach to diagnosis as well as the operative procedure. This study was done with the aim of sharing the experiences of gynecological laparoscopic procedures done at Nobel Medical College and Teaching Hospital, Nepal. Methods: A descriptive study was done in the department of Obstetrics and Gynecology, Nobel Medical College from 1st April 2015 to 30th March 2016. All the patients undergoing laparoscopic procedures were analyzed for the indication, type of procedures and their complications. Results: During the study period, 100 patients underwent laparoscopic procedures including 25 cases of diagnostic and 75 cases of therapeutic procedures. Fiftythree patients with an ovarian mass underwent laparoscopic cystectomy. Laparoscopic salpingectomy was done in 11 patients with ectopic pregnancy. Laparoscopy assisted vaginal hysterectomy (LAVH) was done in eight cases and laparoscopic sterilization in two cases. One patient underwent successful myomectomy. One patient undergoing laparoscopic cystectomy and one case of LAVH had conversion to laparotomy because of dense adhesion and vault bleeding respectively. No other major complication noted apart from port side bleeding, infection and vault hematoma. Conclusion: Laparoscopy is a safe and feasible alternative to open gynecological surgeries though it has a longlearning curve and a lot of expertise is necessary.

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Section: Discussionsupporting

confidence: 75%

Initial Experiences of Laparoscopic Surgery at Nobel Medical College Teaching Hospital

Subedi¹,

GC²,

Lamichhane³

et al. 2016

J Lumbini Med Coll

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“…None of the patients had intraoperative complications, nor developed chemical peritonitis following the surgery, as reported by certain authors in their studies. During the cysts extraction, minimal spillage occurred in 42,5% of cases and none developed chemical peritonitis [4]. Spillage of cyst content occurred in 66% of cases, no intra or postoperative complications occurred, and none case of chemical peritonitis was noted [5].…”

Section: Resultsmentioning

confidence: 94%

Laparoscopic treatment of ovarian dermoid cysts is a safe procedure

Godinjak

Bilalović

Idrizbegović

2011

Bosn J of Basic Med Sci

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Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. The aim of this study was to analyze the safety of laparoscopy in ovarian dermoid cysts treatment and risk of chemical peritonitis. We report 63 cases of patients (mean age of 37) with ovarian dermoid cysts originating from the ovary, treated from 2002 to 2010. Most of the patients underwent cysts removal. In 7 patients salpingo-oophorectomy was performed. We used 15 mm trocars for removing specimens. In patients with dermoid cyst rupture peritoneal cavity was washed out thoroughly with Ringer lactate and drained for 24-48 hours. All the material extracted was sent for a histopathology examination. The diagnosis of mature ovarian dermoid cysts was confirmed in 58 (92.63%) of cases and immature ovarian dermoid cysts in 5 (7.37%) cases. Dermoid cysts were composed of tissue developed from three germinative layers in 31 (49%) patients, from two germinative layers in 25 (40%), and in 7 (11%) patients from one germinative layer. No intra or postoperative complications occurred. No signs or symptoms of chemical peritonitis were observed regardless of cystic spillage or not. We conclude that the risk of chemical peritonitis can be minimized when undertaking laparoscopic removal of ovarian dermoid cysts if the peritoneal cavity is washed out thoroughly from spillage of cyst contents. Drainage of peritoneal cavity should be performed in the patients with the ruptured dermoid cysts.

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“…In cases of dermoid cyst, 6.4% pa ents had bilateral ovarian dermoid cysts, 62% had presented with pain abdomen, and 25% with abnormal vaginal bleeding, 2% with torsion and, 7 in 17%, dermoid cysts were diagnosed incidentally. Laparoscopy should be considered the method of choice for removal of benign ovarian cys c teratomas as it offers the advantage of fewer postopera ve adhesions, reduced pain, 9 shorter hospital stay and be er cosme c results.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Management of Ovarian Dermoid Cysts in Birat Medical College, Teaching Hospital

Neupane

Karki

Dahal

et al. 2018

Birat J. Health Sci.

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Introduction: Spillage of contents of the dermoid cyst during surgery may cause chemical peritonitis and spillage is more likely to occur during laparoscopic surgery for the removal of the ovarian dermoid cyst. Thorough washing of peritoneal cavity with physiological solution greatly reduces the incidence of chemical peritonitis.Objective: To study the outcome of laparoscopic treatment of ovarian dermoid cysts.Methodology: This is a hospital based cross-sectional study conducted at Birat Medical College and Teaching Hospital from 2012 April to 2016 April. All patients being operated by laparoscopy for ovarian dermoid cysts were enrolled in the study. Occurrence of spillage of dermoid contents during surgery and development of symptoms and signs of chemical peritonitis in postoperative period were main outcome measures. The collected data was entered in Microsoft Excel and analyzed by SPSS software version17.Results: Eighty nine ovarian dermoid cysts from 82 patients were managed by laparoscopy. Among 89 cysts, 54(60.76%) cysts were removed by laparoscopic cystectomy, 21(23.59%) cysts were removed by laparoscopic salpingo-ophorectomy and 14(15.73%) cysts were removed by salpingo-ophorectomy with hysterectomy. Spillage of dermoid content occurred in 50 (56.17%) cysts removal. There was no conversion to laparotomy and no case of chemical peritonitis.Conclusion: The risk of chemical peritonitis is negligible with spillage of dermoid content during laparoscopic procedure when peritoneal cavity is washed thoroughly. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 273-276

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Laparoscopic management of ovarian dermoid cysts: a review of 47 cases

Cited by 31 publications

References 23 publications

Initial Experiences of Laparoscopic Surgery at Nobel Medical College Teaching Hospital

Initial Experiences of Laparoscopic Surgery at Nobel Medical College Teaching Hospital

Laparoscopic treatment of ovarian dermoid cysts is a safe procedure

Laparoscopic Management of Ovarian Dermoid Cysts in Birat Medical College, Teaching Hospital

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