There was no difference between menarche and likelihood of torsion (p¼.199). In 9 (8.5%) cases, additional surgery was performed including appendectomy and paratubal/paraovarian CY. Only 2 (1.9%) cases had repeat CY at a later date. 4 cases presented to the ER post-operatively and 2 were admitted for symptoms other than CP (Table 1). There were no cases of CP. Conclusions: These results reaffirm the safety and efficacy of LSC CY for ODCs. Despite the theoretical risk of CP after IO cyst spillage, our results showed no increase in morbidity. Concern for cyst rupture should not be a factor in determining route of procedure or in management of larger ODCs with LSC.

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