Dr. R.K. Mishra at World Laparoscopy Hospital demonstrates Laparoscopic Removal of Ovarian Teratoma in this video. Typically, ovarian mature cystic teratomas are asymptomatic, but in some cases, women may experience acute pelvic pain due to torsion. Emergency surgery is necessary in such cases, and laparoscopic surgery is the preferred method for removing small ovarian teratomas. However, there is a small risk of puncturing the cyst and causing it to leak waxy material during the procedure. Adnexal torsion cannot be excluded based on clinical, biological, or radiological signs, and color Doppler imaging does not allow for its exclusion. Emergency laparoscopy is the recommended treatment for adnexal untwisting, and oophorectomy is recommended in postmenopausal women. Ovariopexy is not typically recommended following adnexal untwisting. If a grade 1 immature teratoma is limited to one or both ovaries, surgery to remove the ovary or ovaries containing cancer and the fallopian tube or tubes might be the only necessary treatment. These tumors rarely recur after being removed.

Ovarian mature cystic teratomas, also known as dermoid cysts, are benign ovarian tumors that typically contain tissues such as hair, teeth, and skin. They are generally asymptomatic and are usually discovered during routine pelvic exams or imaging tests. However, in some cases, they can cause acute pelvic pain due to torsion, which occurs when the cyst twists on its long pedicle, cutting off its blood supply. In such cases, emergency surgery is required to remove the affected ovary and cyst.

Laparoscopic surgery is the preferred method for removing ovarian teratomas, as it is minimally invasive and allows for a faster recovery time compared to open surgery. During the procedure, a small incision is made in the abdomen, through which a laparoscope and small cutting tools are inserted. The cyst is then carefully separated from the ovary and removed.

One potential risk of laparoscopic removal is accidental puncturing of the cyst, which can lead to the leakage of waxy material. However, this is a relatively rare occurrence.

It is important to note that there is no clinical or radiological sign that can definitively exclude the possibility of adnexal torsion, so prompt evaluation and surgical intervention may be necessary in cases of acute pelvic pain. While oophorectomy (removal of the ovary) is recommended in postmenopausal women with adnexal torsion, untwisting of the affected ovary is typically performed in premenopausal women, and ovariopexy (repositioning of the ovary) is generally not recommended unless there are specific circumstances that require it.

Overall, laparoscopic removal of ovarian teratomas is a safe and effective procedure that can provide relief for patients with symptomatic tumors. Following careful staging, surgical removal of the affected ovary and fallopian tube may be the only treatment necessary for low-grade immature teratomas.

For more information:
World Laparoscopy Hospital
Cyber City, Gurugram,
NCR Delhi INDIA : +919811416838

World Laparoscopy Training Institute
Bld.No: 27, DHCC, Dubai
UAE : +971525857874

World Laparoscopy Training Institute
8320 Inv Dr, Tallahassee, Florida
USA : +1 321 250 7653