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Laparoscopic Management of Ovarian Dermoid Cyst in a 31-year-old Woman
            cysts in 310 cases, but significant postoperative complications due   Acknowledgments
            to leakage of dermoid cysts were seen in only one case, with chronic
            granulomatous peritonitis occurring 9 months postoperatively.   I would like to thank the patients whom I reviewed in this report.
            However, the study did not explain the preventive techniques used
            to avoid leakage or the action of cleaning fluid from leaking cysts.   orcId
            Irrigation using a jet-wash technique with an excessive amount of   Cipta Pramana   https://orcid.org/0000-0001-8991-0147
            fluid to clean microscopic particles from the contents of the cyst
            is the gold standard for avoiding postoperative complications.
            From the research of Osama et al., it is said that laparoscopy allows   references
            better cleaning and flushing than laparotomy because it is difficult     1.  Deguchy Q, Fananapazir G, Corwin M, et al. Benign rapidly growing
            to re-aspire all irrigation fluids in laparotomy. 2     ovarian dermoid cysts: a case series. J Diagnostic Med Sonogr
               The advantages of laparoscopy in ovarian cyst management   2017;33(1):71–74. DOI: 10.1177/8756479316664313.
            include less postoperative pain, shorter hospitalization and     2.  Shawki O, Soliman I, Bahnassy A. Laparoscopic management of
            recovery times, and better cosmetic consequences over laparotomy.   ovarian dermoid cysts. Middle East Fertil Soc J 2004;9(1):58-65.
                                                                    https://doi.org/10.3751/194034604783997132.
            Several criteria for laparoscopy in the management of ovarian cysts,     3.  Multani J, Kives S. Dermoid cysts in adolescents. Curr Opin
            namely the patient’s age (premenopausal), mass size (≤5 cm), mass   Obstet Gynecol 2015;27(5):315–319. DOI: 10.1097/GCO.000000000
            characteristics on ultrasound, and normal range of tumor markers.   0000206.
            Research from Briones-Landa et al. demonstrated that laparoscopy     4.  Nagamuthu EA, Mudavath P, Kishore N, et al. Original research article
            did not increase complications compared to open surgery for   on cystic ovarian lesions diagnosed as teratomas – a 2-year study
            benign ovarian cystectomy. 5                            in a tertiary care hospital. Int J Res Med Sci 2016;4(9):4136–4142.
                                                                    DOI: 10.18203/2320-6012.ijrms20162949.
                                                                 5.  Uyanikoglu H, Dusak A. A huge ovarian dermoid cyst: successful
            conclusIon                                              laparoscopic total excision. J Clin Diagn Res 2017;11(8):15–17.
            Dermoid cysts, also known as mature cystic teratomas, are a   DOI: 10.7860/JCDR/2017/29262.10436.
            type of benign tumor of the germ cell ovary. They contain well-    6.  Bhasin SK, Malik SM, Sharma G, et al. Ovarian dermoid presenting
            differentiated tissues that are normally found in other organs   as acute intestinal obstruction: a rare case report and review of
            including teeth, hair, skin, fat, muscle, and bones. It has been   literature. Int Surg J 2015;2(2):283-285. https://doi.org/10.5455/2349-
                                                                    2902.isj20150533.
            reported that patients with dermoid ovarian cysts and successful      7.  Pradhan S. The value of ultra sonogram in the diagnosis of ovarian
            laparoscopic right oophorectomy had no complications during   dermoid cysts. J Kathmandu Med Coll 2014;3(1):26–31. DOI: 10.3126/
            surgery or after surgery. The patient comes home in good health.  jkmc.v3i1.10920.













































            140   World Journal of Laparoscopic Surgery, Volume 14 Issue 2 (May–August 2021)
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