Abstract
Mature cystic teratomas (MCTs) of the ovary represent 44% of ovarian neoplasmas. The surgical approach is important in young women especially for the cosmetic results. Nowadays most of the ovarian surgeries can be performed laparoscopically. An alternative between laparoscopy and laparotomy is the minilaparotomy (ML) which can be an interesting option, thanks to the small incision. We report a 39-year-old woman who was referred to our hospital with acute abdominal pain. In her past history the patient had an uncomplicated delivery. During pregnancy a 6 cm bilateral MCT was diagnosed and expectant management was followed. A left-sided ovarial torsion was postulated, and laparoscopic detorsion was performed. To avoid a rupture of the left MCT, the operation was interrupted. To remove the cyst, a ML was done two weeks later. A left-sided salpingo-oophorectomy was performed due to a large cyst including the entire ovary. On the other side, the right dermoid cyst was entirely removed. The advantage of a ML is not only shorter operating time with less learning curve compared to laparoscopy but also the possibility to extract the adnexal mass from the abdominal cavity with lower risk of rupture and in addition the possibility to preserve more ovarian tissue.
Highlights
Mature cystic teratomas (MCTs) of the ovary, known as dermoid cysts, represent 44% of ovarian neoplasmas
Nowadays most surgeries for ovarian benign disease can be performed laparoscopically [2]. Another approach in special cases is the minilaparotomy (ML), which is considered by some surgeons as a minimally invasive procedure [3]
We present a case in which a woman affected from a bilateral dermoid cyst was operated with a minimal invasive procedure allowing, in this way, the preservation of their fertility
Summary
Mature cystic teratomas (MCTs) of the ovary, known as dermoid cysts, represent 44% of ovarian neoplasmas. They are benign tumors containing mature tissue from all of the three germ-cell layers. Nowadays most surgeries for ovarian benign disease can be performed laparoscopically [2]. Another approach in special cases is the minilaparotomy (ML), which is considered by some surgeons as a minimally invasive procedure [3]. Five months before the time of admission, an uncomplicated spontaneous vaginal delivery occurred During this pregnancy, a 6 cm bilateral adnexal mass was incidentally discovered by a routine gynecological check up. To avoid a rupture of the left dermoid cysts, especially
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