Management of benign ovarian cysts in a semiurban hospital: a retrospective study

M. Sridhar; Chillamherla Susmitha

doi:10.18203/2349-2902.isj20183845

Authors

M. Sridhar Department of General Surgery, Meenakshi Medical College Hospital and Research Institute, Enathur, Kanchipuram, Tamil Nadu, India
Chillamherla Susmitha Department of Obstetrics and Gynaecology, Meenakshi Medical College Hospital and Research Institute, Enathur, Kanchipuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20183845

Keywords:

Benign, Cystectomy, Laparoscopy, Ovarian cysts

Abstract

Background: Benign ovarian cysts are one of the most common cause of surgery. Most of these cysts are asymptomatic and are accidentally found when undergoing a pelvic examination. We conducted a study on the types of benign ovarian cysts in our setup and their surgical management.

Methods: 156 patients who were clinically diagnosed and operated on benign ovarian cysts were included into the study. Transvaginal ultrasound was performed in all the patients to assess the size of cysts and other characteristics of the mass and to exclude malignancy. All the cysts were laparoscopically treated.

Results: Out of 156 patients, most of the patients (27.9%) had come to the hospital with chronic pelvic pain. 25.3% of the patients were asymptomatic and 14.3% had complaints of pelvic mass. Endometrioma which was seen in more than 50% of the cases followed by dermoid cysts seen in 24.3% of the cases. The most common type of surgery performed on the patients was cystectomy in 85.3% followed by oophorectomy in 10.9% of the cases and in 3.8%, a complete laparoscopic salpingo-oophorectomy was performed. Complications was observed in 1.3% of the cases.

Conclusions: Laparoscopic surgery for the removal of benign ovarian cysts the most preferred type of surgery, with cystectomy being the most common type and that with salpingo-oophorectomy being fairly uncommon. As, this is not without complications, careful patient selection and proper surgical experience is required o ensure a safe laparoscopy.

Metrics

Metrics Loading ...

References

Zanetta G, Ferrari L, Mignini-Renzini M, Vignali M, Fadini R. Laparoscopic excision of ovarian dermoid cysts with controlled intraoperative spillage. J Reprod Med. 1999;44:815-20.

Nezhat CR, Kalyoncu S, Nezhat CH, Johnson E, Berlanda N, Nezhat F. Laparoscopic management of ovarian dermoid cysts: ten-year experience. JS Lap Surg. 1999;3:179-84.

Helmrath MA, Shin CE, Warner BW. Ovarian cysts in the pediatric population. Semin Pediatr Surg. 1998;7:19-28.

Knudsen UB, Tabor A, Mosgaard B, Andersen ES, Kjer JJ, Hahn-Pedersen S, et al. Management of ovarian cysts. Acta Obstet Gynecol Scand. 2004;83:1012-21.

Ma KK, Tsui PZ, Wong WC. Laparoscopic management of large ovarian cysts: more than cosmetic consideration. Hong Kong Med J. 2004;10:139-41.

Lok IH, Sahota DS, Rogers MS, Yuen PM. Complications of laparoscopic surgery for benign ovarian cysts. J Am Assoc Gynecol Laparosc. 2000;7(4):529-34.

Eltabbakh GH, Charboneau AM, Eltabbakh NG. Laparoscopic surgery for large benign ovarian cysts. Gynecol Oncol. 2008;108:72-6.

Eltabbakh G. laparoscopic surgery for large ovarian cysts-review trends. Gynecol Oncol. 2016;2:109.

Eltabbakh G. Laparoscopic surgery for large ovarian cysts-review. Curr Trends Gynecologic Oncol. 2016;1:3.

Paul PG, Chopade G, Patil S, Das T, Thomas M, Garg R. Should we manage large ovarian cysts laparoscopically? J Gynecologic Surg. 2016;32(5):251-6.

Lin P, Falcone T, Tulandi T. Excision of ovarian dermoid cyst by laparoscopy and by laparotomy. Am J Obstet Gynecol. 1995;173:769-71.

Quinlan DK. The laparoscopic management of large ovarian cysts. J Obstet Gynecol India. 2010;60(2):152-6.

Amos NN, Brodbent JAM, Hill NCW, Magos AL. Laparoscopic oophorectomy-in-a-bag for removal of ovarian tumors of uncertain origin. Gynecol Endoscop. 1992;1:85-9.

Stitely ML. Laparoscopic removal of a large ovarian mass utilizing planned trocar puncture. JSLS. 2012;16(1):148-50.

Vlahos NF, Iavazzo C, Marcopoulos MC. Laparoscopic management of large ovarian cysts. Surg Innov. 2012;19(4):370-4.

Machida H, Koyasu Y, Yamada M, Nishio M, Yamamoto K. Does tumor size limit application of laparoscopic surgery to ovarian tumors? Gynecol Minimally Invasive Therapy. 2016;5(4):156-60.

Salem HA. Laparoscopic excision of large ovarian cysts. J Obstet Gynaecol Res. 2002;28:290-4.

Sidhmalswamy AG, Ghongdemath JS. Laparoscopic management of large benign ovarian cysts. Int J Reprod Contracept Obstet Gynecol. 2018;7:277-80.

Shindholimath VV, Jyoti SG, Patil KV, Ammanagi AS. Laparoscopic management of large ovarian cysts at a rural hospital. J Gynecol Endosc Surg. 2009;1(2): 94-7.

Guglielmina JN, Pennehouat G, Deval B, Benifla JL, Darai E, Créquat J, et al. Treatment of ovarian cysts by laparoscopy. Contracept Fertil Sex. 1997;25(3):218-29.

Vasque JM, Demarque AM, Diamond MP, et al: Vascular complications of laparoscopic surgery. J Am Assoc Gynecol Laparosc 1994;1:163-7.