Page 62 - tmp
P. 62
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)