Laparoscopic Management of Huge Ovarian Cysts
Objectives. Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications. Materials and Methods. We describe five patients who had their surgeries conducted in a tertiary care center in Ri...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Obstetrics and Gynecology International |
| Online Access: | http://dx.doi.org/10.1155/2013/380854 |
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| author | A. Alobaid A. Memon S. Alobaid L. Aldakhil |
| author_facet | A. Alobaid A. Memon S. Alobaid L. Aldakhil |
| author_sort | A. Alobaid |
| collection | DOAJ |
| description | Objectives. Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications. Materials and Methods. We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City). Results. Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1–12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients. Conclusion. There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy. |
| format | Article |
| id | doaj-art-380fc2d495404f74bcdacefb1b26afe0 |
| institution | Kabale University |
| issn | 1687-9589 1687-9597 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obstetrics and Gynecology International |
| spelling | doaj-art-380fc2d495404f74bcdacefb1b26afe02025-02-03T06:00:59ZengWileyObstetrics and Gynecology International1687-95891687-95972013-01-01201310.1155/2013/380854380854Laparoscopic Management of Huge Ovarian CystsA. Alobaid0A. Memon1S. Alobaid2L. Aldakhil3King Fahad Medical City, Women's Specialized Hospital, P.O. Box 59046, Riyadh 11525, Saudi ArabiaKing Fahad Medical City, Women's Specialized Hospital, P.O. Box 59046, Riyadh 11525, Saudi ArabiaKing Fahad Medical City, Women's Specialized Hospital, P.O. Box 59046, Riyadh 11525, Saudi ArabiaKing Khaled University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi ArabiaObjectives. Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications. Materials and Methods. We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City). Results. Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1–12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients. Conclusion. There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy.http://dx.doi.org/10.1155/2013/380854 |
| spellingShingle | A. Alobaid A. Memon S. Alobaid L. Aldakhil Laparoscopic Management of Huge Ovarian Cysts Obstetrics and Gynecology International |
| title | Laparoscopic Management of Huge Ovarian Cysts |
| title_full | Laparoscopic Management of Huge Ovarian Cysts |
| title_fullStr | Laparoscopic Management of Huge Ovarian Cysts |
| title_full_unstemmed | Laparoscopic Management of Huge Ovarian Cysts |
| title_short | Laparoscopic Management of Huge Ovarian Cysts |
| title_sort | laparoscopic management of huge ovarian cysts |
| url | http://dx.doi.org/10.1155/2013/380854 |
| work_keys_str_mv | AT aalobaid laparoscopicmanagementofhugeovariancysts AT amemon laparoscopicmanagementofhugeovariancysts AT salobaid laparoscopicmanagementofhugeovariancysts AT laldakhil laparoscopicmanagementofhugeovariancysts |