Laparoscopic Management of Large Benign Ovarian Cysts

Slimani Olfa,Nabil Mathlouthi,Moez Attia,Tahar Makhlouf,Riadh Ben Temime,Leila Attia,Imen Znagui

doi:10.21767/2254-6081.100164

Abstract

Background: Laparoscopy is a valid surgical technique for the management of benign ovarian cysts. But its effectiveness when dealing with large cysts is unclear. Our aim is to evaluate the results of laparoscopy in routine management of huge benign ovarian cysts. Materials and Methods: We performed a prospective study from August 2014 to January 2016. We enrolled 42 patients with large benign ovarian cysts laparoscopically managed in the department of Gynecology and Obstetrics at Charles Nicolle’s hospital. Results: Eight patients had emergency laparoscopy for suspected adnexal torsion. The laparoscopic exploration revealed a right ovary cyst in 63% of cases and a left ovarian cyst in 35% of patients without any extra-cystic vegetation. A cystectomy was performed in 42% and an adnexectomy in all the other cases. A bilateral adnexectomy was performed in 25% of cases. A laparoconversion was needed in 32.7% of cases. No vascular, digestive or infectious complications were observed. The mean duration of the operative procedure was 115 minutes. The average hospital stay was 3 days. Pathological examination of the surgical specimens revealed a serous cystadenoma in 33 cases. Conclusion: Laparoscopy is a safe and reliable first choice in the management of huge benign ovarian cysts.

Highlights

Benign ovarian cysts are one of the most common causes of surgery in gynecology
Laparoscopic management of large benign ovarian cysts is challenging for the surgeons
We performed a prospective study from August 2014 to January 2016, during which we enrolled 42 cases of patients with huge benign ovarian cysts managed laparoscopically in the department of Gynecology and Obstetrics "A" at Charles Nicolle’s hospital

Summary

Introduction

Benign ovarian cysts are one of the most common causes of surgery in gynecology. 10% of women in the United States will undergo surgery for adnexal masses [1]. Laparoscopic management of large benign ovarian cysts is challenging for the surgeons. It raises many problems concerning the nature of the cyst as the spin risk in case of malignancy, on the one hand and technical problems, on the other hand, such as the trocars location, the risk of rupture of the cyst if mobilized. All these constraints make laparotomy the gold standard technique in the management of large ovarian. Our aim is to evaluate the results of laparoscopy in routine management of huge benign ovarian cysts

Objectives

Methods

Results

Conclusion