A Modified Technique to Reduce Spillage and the Operative Time in Laparoscopic Dermoid Cyst Excision

2015 ◽  
Vol 25 (2) ◽  
pp. 143-146 ◽  
Author(s):  
Mustafa Ulubay ◽  
Uğur Keskin ◽  
Ulaş Fidan ◽  
Mustafa Ozturk ◽  
Rıza Karaca ◽  
...  
Keyword(s):  
Dermoid Cyst ◽  
Operative Time ◽  
Modified Technique ◽  
Cyst Excision

Transoral Dermoid Cyst Excision: A Multicenter Prospective Observational Study

2018 ◽  
Vol 159 (6) ◽  
pp. 981-986 ◽  
Author(s):  
Jin Pyeong Kim ◽  
Dong Kun Lee ◽  
Jeong Hwan Moon ◽  
Jung Je Park ◽  
Seung Hoon Woo
Keyword(s):  
Observational Study ◽  
Oral Cavity ◽  
Dermoid Cyst ◽  
Prospective Observational Study ◽  
University Hospital ◽  
Secondary Outcome ◽  
Transoral Surgery ◽  
Cyst Excision ◽  
Surgery Group ◽  
Multicenter Prospective Observational Study

Objective Transoral surgery is becoming a preferred technique because it does not leave any scar after surgery. However, transoral surgery for a dermoid cyst of the oral cavity is not standardized yet, due to the anatomic complexity of this region. The aim of this study was to evaluate the safety and efficacy of a transoral dermoid cyst excision. Study Design Multicenter prospective observational study. Setting University hospital. Subjects and Methods This study was designed as a 4-year prospective multicenter evaluation of dermoid cyst excisions within the floor of mouth. Clinical outcomes and complications related to procedures were evaluated among patients. The primary outcome was the efficacy of the procedure, and the secondary outcome was cosmetic satisfaction of each procedure. Results Twenty-one patients underwent transoral dermoid cyst excisions, and 22 underwent transcervical excisions. In the transoral surgery group, the mean size of the dermoid cyst was 5.35 cm (95% CI, 4.79-5.91), and in the transcervical surgery group, it was 6.19 cm (95% CI, 5.67-6.71). There was no significant differences with respect to overall demographic characteristics between the groups. However, the duration of the operation was shorter with the transoral group than with the transcervical group ( P = .001), and cosmetic satisfaction was much better in the transoral group ( P < .001). Conclusion Transoral dermoid cyst excision is a potentially safe and effective method that can lead to easy and quick removal of an oral cavity dermoid cyst, with excellent cosmetic outcomes.

Nasal dermoid cyst excision with a lateral rhinotomy approach through the nasal alar sulcus

2020 ◽  
Vol 31 (2) ◽  
pp. e13-e18
Author(s):  
John W. Lally ◽  
Alexandra Ortiz ◽  
Jon Robitschek ◽  
Michael Demarcantonio
Keyword(s):  
Dermoid Cyst ◽  
Lateral Rhinotomy ◽  
Cyst Excision

scholarly journals Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy in children: a single-institution prospective cohort study

2019 ◽  
Vol 6 (8) ◽  
pp. 2860
Author(s):  
Nguyen Thanh Xuan ◽  
Ho Huu Thien ◽  
Phan Hai Thanh ◽  
Pham Anh Vu ◽  
Nguyen Huu Son ◽  
...  
Keyword(s):  
Choledochal Cyst ◽  
Operative Time ◽  
Bile Leakage ◽  
Short Term ◽  
Cyst Excision ◽  
Drain Removal ◽  
Laparoscopic Excision ◽  
The Mean ◽  
Mean Time ◽  
Time To Drain

Background: Laparoscopic cyst excision and Roux-en-Y hepaticojejunostomy is gaining popularity as a treatment for choledochal cyst in children. The aim of this study is to determine the feasible and safe of the laparoscopic excision with Roux-en-Y hepaticojejunostomy, and evaluate the short-term outcomes after treatment for children with choledochal cyst.Methods: A prospectively of 51 consecutive pediatric patients undergoing laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy performed by one surgeon cysts at Hue Central Hospital from June 2012 to December 2017 was studied.Results: The mean operative time was 214.7±67.95 minutes (range, 100~360 minutes), including the time for intraoperative cholangiography. There were two children requiring blood transfusion. Time to first flatus was 40.35±28.55 hours in average. The mean time to drain removal was 2.89±1.02 days. Mean postoperative hospital stay was 9.31±3.43 days. 6 out of 51 cases having early complications, including 2 cases of pancreatitis and 4 cases of bile leakage. Most of cases (90.5%) were classified as good after 10 days to 3 months of follow-up.Conclusions: Laparoscopic choledochal cyst excision and Roux-en-Y hepaticojejunostomy was feasible and safe in children. The short-term outcomes were good in most cases. 

scholarly journals Nasal dermoid cysts with intracranial extension: avoiding coronal incision through midline exposure and nasal bone osteotomy

2020 ◽  
Vol 25 (3) ◽  
pp. 298-304
Author(s):  
Chad A. Purnell ◽  
Rachel Skladman ◽  
Tord D. Alden ◽  
Julia F. Corcoran ◽  
Jeffrey C. Rastatter
Keyword(s):  
Blood Loss ◽  
Dermoid Cyst ◽  
Demographic Data ◽  
Nasal Bone ◽  
Direct Access ◽  
Intracranial Extension ◽  
Transfusion Rate ◽  
Cyst Excision ◽  
The Mean ◽  
Coronal Incision

OBJECTIVEUp to 10% of midline nasal dermoid cysts have intracranial extension. Previous techniques of excision include frontal and frontonasal craniotomies via a coronal approach, combined with a direct cutaneous excision of the dermoid cyst. While the coronal incision allows for wide visualization, it carries significant risks of transfusion, blood loss, and scarring. The authors present an alternative technique in which access is gained through a midline extension of the dermoid cyst excision that provides direct access for a keyhole frontal craniotomy.METHODSThe authors utilize a nasal bone osteotomy, pericranial flap, and keyhole-type craniotomy performed through a nasal midline incision for the treatment of nasal dermoid cysts with intracranial extension. They performed a retrospective chart review of all patients with nasal dermoid cysts treated at the Ann & Robert H. Lurie Children’s Hospital of Chicago from 2009 to 2017. Patient demographic data, operative data, and in- and outpatient complication data were collected.RESULTSIn 10 patients with cyst extension near or into the intracranial cavity (7 with true intracranial extension), the nasal osteotomy technique was performed. The mean blood loss was 13 ml, with a 0% transfusion rate. The mean length of inpatient stay was 1 day. A durotomy was made and repaired as part of the dermoid cyst dissection in 3 patients. One patient underwent intraoperative placement of a lumbar drain. The mean operative time was 228 minutes. There were no intraoperative or postoperative complications, including the need for a reoperation. No patients had any long-term complications, and no patients have had dermoid cyst recurrence. The appearance of the scar was acceptable in all cases.CONCLUSIONSThe midline approach to nasal dermoid cysts with intracranial extension is safe and results in limited blood loss, short operative times, and short lengths of inpatient hospital stay. This is a viable technique for the treatment of this challenging pathology.

scholarly journals Three Port Laparoscopic Cholecystectomy by a Modified Technique

2022 ◽  
Vol 12 (2) ◽  
pp. 90-94
Author(s):  
Mohammad Emrul Hasan Khan ◽  
Abdullah Md Abu Ayub Ansary ◽  
Md Monoarul Islam Talukdar ◽  
Fayem Chowdhury ◽  
Md Armanul Islam ◽  
...  
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Pain Score ◽  
Operative Time ◽  
Operating Time ◽  
Modified Technique ◽  
Conversion To Open Surgery ◽  
Open Conversion ◽  
Medical College ◽  
Expert Surgeon ◽  
Umbilical Scar

Introduction:Since the introduction of laparoscopic cholecystectomy (LC) several modifications have been introduced to its procedure. Main aim of these modifications is to improve cosmesis & reduce pain. Several institutes are routinely performing conventional 3 ports laparoscopic. In modified 3 ports LC, the third port was moved from right hypochondrium to umbilicus, to conceal it in the umbilical scar, thereby giving the three port comfort to the surgeon and two port benefits to the patient. Methods: This observational study was conducted in the Department of Surgery of Shaheed Suhrawardy Medical College & Hospital from September 2015 to October 2016. After taking valid consent a total 45 patients were selected for modified 3 ports LC. Here we tried to see the safety and benefit of this modified technique by assessing operating time, intra-operative complications, open conversion rate, postoperative wound infection, post-operative hospital stay, pain score and satisfaction with cosmetic outcome. Results: 3 patients were excluded from study due to different reasons. So, among total 42 (N) patients 30 (71.4%) were female & 12 (28.6%) were male. Operative time was 58.48 ± 32.52 minutes (range 34 to 180 minutes). 2 patients required conversion to open surgery. Pain score was 2.07 ±1.71 and cosmetic score was 8.67 ± 1.99. Conclusion: Modified 3 port laparoscopic cholecystectomy can be performed safely with a higher cosmetic satisfaction in selected cases by expert surgeon. J Shaheed Suhrawardy Med Coll 2020; 12(2): 90-94

Anaesthetic Management of a Large Sublingual Dermoid Cyst Excision in a 2 Year Old Child

2011 ◽  
Vol 3 (6) ◽  
pp. 430-432 ◽  
Author(s):  
Dr. Seema Karhade ◽  
◽  
Dr. Adnanali Sarkar ◽  
Dr. Shalini Thombre
Keyword(s):  
Dermoid Cyst ◽  
Anaesthetic Management ◽  
Cyst Excision

Microsurgical Excision of Colloid Cyst With Favorable Cognitive Outcomes and Short Operative Time and Hospital Stay

Neurosurgery ◽  
2010 ◽  
Vol 66 (2) ◽  
pp. 368-375 ◽  
Author(s):  
Raghuram Sampath ◽  
Prasad Vannemreddy ◽  
Anil Nanda
Keyword(s):  
Hospital Stay ◽  
Cognitive Performance ◽  
Operative Time ◽  
Colloid Cyst ◽  
Cyst Size ◽  
Short Operative Time ◽  
Complete Excision ◽  
Cyst Excision ◽  
Postoperative Stay ◽  
Memory Problems

Abstract OBJECTIVE Microsurgical and endoscopic colloid cyst excision differ with regard to operative time, length of hospital stay, and extent of resection. METHODS A retrospective review of a single surgeon's microsurgical colloid cyst resection in 10 consecutive patients was performed. Cyst size, hydrocephalus, symptoms, operative time, postoperative stay, complications, and objective testing of memory, concentration, calculation, and attention (cognition), along with performance at job, were noted. RESULTS All 10 patients had complete excision. Mean cyst size, mean operative time, and median postoperative stay were 1.6 cm, 124 minutes, and 3.5 days respectively. The mean operative time from cyst visualization to complete excision was 18 minutes. Follow-up ranged from 6 to 111 months (mean, 49.5 months). There were no recurrences; symptoms (headache, visual and balance problems) improved significantly in 70%. Postoperative cognitive performance, including memory, was the same in 8 patients (5 of whom had preoperative memory problems) and worse in 2 patients who had no preoperative memory problems. The bone flap was removed in 1 patient for wound dehiscence. Hemiparesis in another patient, seen immediately after surgery, completely resolved before discharge. One patient with loculated ventricles and multiple previous shunt revisions had unresolved hydrocephalus after cyst excision. CONCLUSION We report the very short operative times and postoperative stay for microsurgery, which are comparable to some endoscopic series. We also report results of objective tests of cognitive performance. With adoption of a callosal incision of 1 cm or less, meticulous dissection around the fornix, and complete excision, acceptable long-term cognitive function and functional performance were achieved. Our results support the microsurgical approach. A larger sample size can more conclusively establish whether it should be chosen over the endoscopic technique.

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