Laparoendoscopic single-site surgical cystectomy of a twisted ovarian dermoid cyst during early pregnancy: A case report and literature review

Ding, Dah-Ching; Chang, Yu-Hsiun

doi:10.1016/j.gmit.2015.12.003

Cited by 11 publications

(17 citation statements)

References 18 publications

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“…About 10%–22% of ovarian torsion occurred in pregnancy [ 15 22 24 28 ]. The incidence is higher at 10–17 weeks of gestation with ovarian masses larger than 4 cm [ 29 30 ].…”

Section: E Pidemiologymentioning

confidence: 99%

“…No evidence suggests that detorsion increases adverse events postoperatively [ 70 ]. Management in pregnant women is similar to that in nonpregnant patients, and laparoscopic surgery is safe for torsion in pregnant women [ 28 71 72 73 ]. Neonates with ovarian torsion often present with irritability and the condition can be treated with laparoscopic surgery [ 74 75 76 ].…”

Section: Anagementmentioning

confidence: 99%

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A review of ovary torsion

2017

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Ovarian torsion is a rare but emergency condition in women. Early diagnosis is necessary to preserve the function of the ovaries and tubes and prevent severe morbidity. Ovarian torsion refers to complete or partial rotation of the adnexal supporting organ with ischemia. It can affect females of all ages. Ovarian torsion occurs in around 2%–15% of patients who have surgical treatment of adnexal masses. The main risk in ovarian torsion is an ovarian mass. The most common symptom of ovarian torsion is acute onset of pelvic pain, followed by nausea and vomiting. Pelvic ultrasonography can provide information on ovarian cysts. Once ovarian torsion is suspected, surgery or detorsion is the mainstay of diagnosis and treatment.

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“…About 10%–22% of ovarian torsion occurred in pregnancy [ 15 22 24 28 ]. The incidence is higher at 10–17 weeks of gestation with ovarian masses larger than 4 cm [ 29 30 ].…”

Section: E Pidemiologymentioning

confidence: 99%

Section: Anagementmentioning

confidence: 99%

A review of ovary torsion

2017

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“…[ 2 3 ] However, other adnexal masses, such as serous cystadenoma and dermoid cyst, can persist and gradually enlarge and thereby cause complications during pregnancy. [ 4 ] Pregnancies that require surgical procedures do carry the risk of some adverse fetal outcomes such as fetal loss, preterm delivery, and dysmaturity of the fetus. [ 5 ] However, without the use of surgery, applying a more conservative management approach could result in other serious complications as well, such as torsion or the rupturing of the ovarian cysts.…”

Section: Introductionmentioning

confidence: 99%

“…[ 6 7 8 ] Currently, laparoscopy (a small invasive surgery) has become increasingly more common in pregnant women[ 9 ] since it involves little postoperative pain and causes no adverse impact on the overall obstetric outcome. [ 4 ]…”

Section: Introductionmentioning

confidence: 99%

The evaluation of laparoscopic surgery on pregnant patients with ovarian cysts and its effects on pregnancy over the past 5 Years

Kurihara

Minagawa

Masuda

et al. 2018

Gynecol Minim Invasive Ther

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Study Objective:Study Objective: In this research paper, we demonstrate how to increase the success rate of laparoscopic surgery on pregnant patients with an ovarian cyst using rectal probe, SAND balloon, and lowering the insufficient level.Design:The study design wasa retrospective study.Setting:The study was conducted at Japanese Red Cross Kyoto Daini Hospital, Kyoto, Japan.Patients:Pregnant patients with an ovarian cyst who underwent laparoscopic surgeries at our institution during the period from January 2011 to December 2016.Materials and Methods:We reviewed 14 cases of pregnant women with ovarian cysts that underwent laparoscopic surgery during the study period by observing and analyzing the patient's characteristics, hospitalization practices, surgical complications, operational procedures, and obstetric outcomes.Main Results:Three cases were emergency surgeries and 11 cases were elective surgeries. In the 14 cases, the gestational age at the time of the surgeries ranged from 6 to 20 weeks. In our studies, we found no systemic complications after the surgery and none of the cases reported any fetal malformation or any fetal growth restriction.Conclusion:In our review, laparoscopic surgery for ovarian cyst during pregnancy was very safe and successful, without any adverse effects on pregnancy outcome.

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“…Our surgical team has a lot of experience in performing laparoendoscopic single-site surgery (LESS), so we are very familiar with single-port surgery [ 10 11 12 13 14 ].…”

Section: Introductionmentioning

confidence: 99%

Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital

2017

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Objectives:The objective of this study is to report our initial experience with patients undergoing transvaginal natural orifice transluminal endoscopic surgery (NOTES).Materials and Methods:From September 2016 to December 2016, patients who were not virgins and did not have pelvic inflammation or obliteration of the cul-de-sac who underwent NOTES hysterectomy or ovarian cystectomy (OC) were included in the study.Results:Transvaginal NOTES was performed smoothly in six patients, two patients (mean age 35 years, mean body mass index [BMI] 25) received an OC and four patients (mean age 49 years, mean BMI 27) underwent a hysterectomy. One patient with a hysterectomy received concurrent adhesiolysis. The mean surgical times were 74 and 75 min and blood loss was 50 and 87.5 ml in the OC and hysterectomy groups, respectively. One patient with a hysterectomy had a postoperative fever with 38°C last for 2 days. Pain scores were 0 at 48 h postoperatively in both groups.Conclusion:Transvaginal NOTES is a feasible and safe technique for hysterectomy and OC in our patients and those in previous reports. This procedure was minimally invasive with no scars on the abdomen as well as little pain.

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Laparoendoscopic single-site surgical cystectomy of a twisted ovarian dermoid cyst during early pregnancy: A case report and literature review

Cited by 11 publications

References 18 publications

A review of ovary torsion

A review of ovary torsion

The evaluation of laparoscopic surgery on pregnant patients with ovarian cysts and its effects on pregnancy over the past 5 Years

Hysterectomy and ovarian cystectomy using natural orifice transluminal endoscopic surgery: An initial experience at Tzu Chi General Hospital

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