Laparoscopic surgery of dermoid cysts — intraoperative spillage and complications

Mecke, H.; Savvas, V.

doi:10.1016/s0301-2115(00)00390-0

Cited by 44 publications

(40 citation statements)

References 14 publications

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“…According to other authors, intra-operational evacuation of the contents of the cyst into the peritoneal cavity rarely leads to complications [18][19][20].…”

Section: Discussionmentioning

confidence: 95%

Struma ovarii – a dermoid and serous form of ovarian cyst

Sikora-Szczęśniak¹,

Sikora²

2013

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Struma ovarii belongs to the class of monodermal and highly specialized teratomas. These tumors are detected mainly among mature teratomas, accounting for up to 3% of all ovarian teratomas. Besides dermoid cysts, thyroid tissue is also found in serous and mucous cysts within the ovary. The aim of the research was to analysis of the incidence of struma ovarii -a rare type of tumor -among dermoid and serous ovarian cysts. Medical documentation of female patients subjected to surgery in the Department of Gynecology and Obstetrics, Independent Public Health Care Institution in Lipsko over a period of 17 years was reviewed for cases of struma ovarii. Struma ovarii was detected in 4 out of 103 operated females with dermoid and serous cysts. Thyroid tissue and serous cyst with a double-twisted pedicle were detected in a 22-year-old patient in the 10 th week of gestation within the left ovary. In three cases of patients aged 42, 46, and 51, thyroid tissue encapsulated in dermoid cells was also located on the left side. All diagnoses were made on the basis of histopathological assessments. In a 17-year observation period, gestational struma ovarii was identified in one out of 17,751 patients whose pregnancies led to delivery. This accounts for 0.0068% of pregnancies ending with delivery. Struma ovarii was detected in one half of the patients in whom dermoid cells were detected bilaterally.

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“…According to other authors, intra-operational evacuation of the contents of the cyst into the peritoneal cavity rarely leads to complications [18][19][20].…”

Section: Discussionmentioning

confidence: 95%

Struma ovarii – a dermoid and serous form of ovarian cyst

Sikora-Szczęśniak¹,

Sikora²

2013

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“…2 Most commonly, dermoid cysts tend to occur in women of reproductive age. 1 Ultrasonography has become the gold standard for early diagnosis of dermoid cysts 3 and, when found, surgical excision of these tumors is recommended because of the possibility of complications including torsion of the ovary, rupture, infection, and malignant degeneration.…”

Section: Discussionmentioning

confidence: 99%

“…1 Ultrasonography has become the gold standard for early diagnosis of dermoid cysts 3 and, when found, surgical excision of these tumors is recommended because of the possibility of complications including torsion of the ovary, rupture, infection, and malignant degeneration. 2 Although rare, malignant degeneration has been reported in as many as 2% of cases. 1,4 Traditionally, the surgical approach to cyst enucleation was via laparotomy.…”

Section: Discussionmentioning

confidence: 99%

“…However, with use of an endo-bag and with prompt irrigation of the peritoneal cavity in the event of a spillage, the incidence of complication has been reported to be Ͻ1%. 2,4,6 In addition, because malignant teratomas are an entity found most often in the elderly, 1 it is less of a concern in young women of reproductive age. Finally, a conservative approach to tumor removal is recommended to minimize adhesions and preserve fertility as much as possible because most patients with benign cystic teratomas are of reproductive age.…”

Section: Discussionmentioning

confidence: 99%

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Single-Incision Laparoscopic Appendectomy and Dermoid Cyst Enucleation

Champney

Malloy

Chudusama

et al. 2014

CRSLS

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We present a case report describing the outcome of an appendectomy and subsequent ovarian cyst enucleation using a single-incision laparoscopic approach in a 19-year-old patient. In an acute care setting, computed tomography of the abdomen demonstrated findings consistent with early acute appendicitis as well as a complex cystic mass on the right ovary. Pelvic ultrasonography revealed a right ovarian cystic lesion measuring 2.9 cm. There were no intraoperative complications. This case report demonstrates the feasibility of single-incision laparoscopy even when separate pathologic results are encountered and is, to our knowledge, the first report of the use of this technique for simultaneous appendectomy and dermoid cyst enucleation.

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“…Laparoscopic surgery for benign cystic teratomas (dermoid cysts) has been proved to be a safe and effective procedure [2,3]. However, intra-operative spillage of dermoid cyst contents is known to cause chemical peritonitis which may further lead to more serious complications.…”

Section: Discussionmentioning

confidence: 99%