Laparoscopic management of benign cystic teratomas during pregnancy

Parker, W.H.; Canis, M; Childers, JM; Phillips, Nicholas

doi:10.1016/s1074-3804(05)80593-6

Cited by 8 publications

(10 citation statements)

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“…Spillage occurred in 10(93%) women. But no pa ent had evidence of chemical peritoni s. There were no intraopera ve 18 or postopera ve complicaion to mother or fetus.…”

Section: Discussionmentioning

confidence: 94%

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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“…Spillage occurred in 10(93%) women. But no pa ent had evidence of chemical peritoni s. There were no intraopera ve 18 or postopera ve complicaion to mother or fetus.…”

Section: Discussionmentioning

confidence: 94%

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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“…Recently, successful reports of laparoscopic procedures during pregnancy, using general anaesthesia and carbon dioxide pneumoperitoneum have been published, indicating that laparoscopy in pregnancy is a feasible, minimally invasive alternative to laparotomy. 3,[5][6][7][8][9][10][11][12][13][14][15] However, comprehensive studies evaluating feto-maternal laparoscopic surgery effects are not currently available, and the safety of both the pressure consequences of pneumoperitoneum and the effects of absorbed carbon dioxide gas are still unproven. 12 Laparoscopic insufflation with carbon dixoide can create four maternal haemodynamic responses 16 .…”

Section: Discussionmentioning

confidence: 99%

Gasless laparoscopy under epidural anaesthesia for adnexal surgery in pregnancy

PELOSIIII¹,

Pelosi²,

Giblin

et al. 1997

Gynaecol Endoscopy

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The elimination of the need for a pneumoperitoneum, by use of a mechanical abdominal wall elevation device, the use of epidural anaesthesia, an open laparoscopic entry technique and the avoidance of multiple laparoscopic trocar sites allowed for the safe, effective, and rapid treatment of symptomatic adnexal pathology in two pregnant patients during the second trimester of pregnancy. The first case required the removal of a 10×13‐cm dermoid cyst with torsion of its pedicle, and appendectomy. The second patient underwent the removal of symptomatic, large, bilateral endometriomas. Our experience suggests that in selected cases, this minimally invasive approach can successfully replace laparotomy and its associated morbidity, and avoid the potentially deleterious effects of arbon dioxide pneumoperitoneum and general anaesthesia upon the fetus and pregnant mother.

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“…Less postoperative pain allows less narcotic analgesia and rapid return to full activity could reduce the incidence of maternal thromboembolic disease. Parker described laparoscopic removal of benign cystic teratomas in 12 women, between 9 and 17 weeks' gestation (14). Laparotomy with drainage, was chosen in this case rather than excision, which would have been technically hazardous, requiring significant uterine manipulation and, it was feared that this could precipitate premature labour.…”

Section: Casementioning

confidence: 99%