Laparoscopic convervative excision of ovarian dermoid cysts with and without an endobag

Campo, Sebastiano; Garcea, N

doi:10.1016/s1074-3804(98)80084-4

Cited by 54 publications

(44 citation statements)

References 17 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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“…Creation of cleavage plane between cyst and ovary, dissection with water, scissors and gravity without traction on cyst [11] 3. Removing cysts in an endobag significantly reduces operating time and spillage as compared to direct retrieval (4% vs. 43.3% in one study [7] and 13.6% vs. 62% in another [9]) 4. Controlled intra-peritoneal spillage does not increase post-operative morbidity as long as the peritoneal cavity is thoroughly washed [7].…”

Section: Discussionmentioning

confidence: 97%

“…Removing cysts in an endobag significantly reduces operating time and spillage as compared to direct retrieval (4% vs. 43.3% in one study [7] and 13.6% vs. 62% in another [9]) 4. Controlled intra-peritoneal spillage does not increase post-operative morbidity as long as the peritoneal cavity is thoroughly washed [7]. An experimental study has proved that saline lavage decreases inflammation and adhesion formation to control levels [4] 5.…”

Section: Discussionmentioning

confidence: 97%

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Small bowel necrosis and enterocutaneous fistulae resulting from iatrogenic spillage of dermoid cyst contents at the time of laparoscopic surgery

Majmudar

Abdel-Rahman

2008

Gynecol Surg

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“…In several reports, the rate of the spillage was reported between 12 and 88 % [2,5,6]. Cases of chemical peritonitis with subsequent extensive adhesion formation and granulomatosis have been reported following intraperitoneal rupture of mature cystic teratoma [7], although in most cases, complications with spillage was substantially minimal when this was followed by generous irrigation of the abdominal cavity [8]. Spillage of malignant cells following rupture of a teratoma with malignant components raises a more serious problem [9].…”

Section: Discussionmentioning

confidence: 99%