Description

This video demonstrates Laparoscopic Removal of Ovarian Teratoma by Dr. R.K. Mishra at World Laparoscopy Hospital. In most cases, ovarian mature cystic teratomas are asymptomatic with only 3-4% of women presenting with acute pelvic pain, which is usually due to torsion. There is no role for expectant management in such cases and they need emergency surgery. The risk of torsion is highest in ovarian mature cystic teratoma because of the long pedicle, and nearly all tort cases were 5-6 cms in size. Mature ovarian teratomas (dermoid cysts) are generally removed by laparoscopic surgery if the cyst is small. This involves a small incision in the abdomen to insert a scope and a small cutting tool. A small risk of laparoscopic removal is that the cyst can become punctured and leak waxy material. Unfortunately, there is no clinical, biological, or radiological sign that may exclude the diagnosis of adnexal torsion. The presence of flow at color Doppler imaging does not allow the exclusion of the diagnosis. An emergency laparoscopy is recommended for adnexal untwisting, except in postmenopausal women where oophorectomy is recommended. A persistent black color of the adnexa after untwisting is not an indication of systematic oophorectomy since a functional recovery is possible. Ovariopexy is not routinely recommended following adnexal untwisting. These tumors rarely come back after being removed. If careful staging has determined that 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 treatment needed. 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