Abstract
Vaginal ovarian cystectomy has not gained wide acceptance owing to the potential difficulty in entering the cul-de-sac. We review the current evidence on vaginal approaches to benign ovarian cysts. Outcome measures of interest included time to return to work, patient satisfaction, surgical complications and length of hospital stay. Ten studies were included in this review and involving 525 patients. Vaginal ovarian cystectomy is overall safe and feasible in appropriately selected cases with no evidence of intrapelvic adhesions or endometriosis. These findings will need to be validated in appropriately powered studies, before reliable conclusions can be drawn. Furthermore, we emphasize the importance of ultrasound both preoperatively for case selection optimization and intraoperatively, as a means of guidance during posterior culdotomy.
Highlights
They were deemed to be irrelevant to the research question
Yoong et al To compare surgical Retrospective Vaginal ovarian cystectomy (VOC): Dorsal lithotomy, Vulsellum to posterior lip Duration of surgery, VOC compared with LOC: Mean operating time: VOC took longer to [5]
Patient digitally checked, incision enlarged to 3 cm, Sims length of inpatient p Ͻ 0.001; length of stay: 10.9 vs 8.9 h, p Ͻ 0.001; stay, London, UK
Summary
The aim of our study is to critically appraise the evidence and evaluate the feasibility and safety of ovarian cystectomy through the vaginal route, including simple VOC, transvaginal NOTES and other mixed laparoscopic and vaginal approaches
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