scholarly journals Safety of laparoscopic management of ovarian dermoid cyst

2017 ◽  
Vol 5 (1) ◽  
pp. 18-22
Author(s):  
Nira Singh Shrestha ◽  
Junu Bajracharya ◽  
Rachana Saha
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Dermoid Cyst ◽  
Preoperative Diagnosis ◽  
Laparoscopic Approach ◽  
College Teaching ◽  
Laparoscopic Management ◽  
Duration Of Hospital Stay ◽  
Chemical Peritonitis ◽  
Ovarian Dermoid Cyst

Background: In the recent years, with the advancement of laparoscopic surgery, management of ovarian dermoid cysts is possible with laparoscopic approach. Concerns regarding safety of the procedure has been raised.Objective: To analyze the safety of laparoscopic surgery done for ovarian dermoid cyst at Kathmandu Medical College Teaching Hospital.Methods: This is a descriptive study done from July 2012 to June 2015. All the cases with the diagnosis of ovarian dermoid cyst managed laparoscopically during the study period were enrolled in the study. Thorough history, clinical examination fi nding and diagnostic modalities were noted. Three port laparoscopy was done for the management of dermoid cyst. Thorough peritoneal lavage with warm saline was done at the end of the procedure in the cases with spillage.Variables like preoperative diagnosis, postoperative diagnosis, and type of surgery performed, rate of spillage, features of chemical peritonitis if any and duration of hospital stay were noted and analyzed.Results: Total 52 cases with the preoperative diagnosis of dermoid cyst were managed with laparoscopy during the study period. Of these, only 46 cases (88.46%) were dermoid cyst on laparoscopy. In majority of the cases (45.65%) diagnosis was incidental by Ultrasound scan done for other indications. Cystectomy was performed in 42 cases (91.30%) and in 4 cases (8.69%) oophorectomy was done. Spillage occurred in approximately 89% of the cases but there were no cases of chemical peritonitis. Duration of hospital stay ranged between 2 to 5 days.Conclusion: Laparoscopic management of ovarian dermoid cyst is a safe procedure.Journal of Kathmandu Medical CollegeVol. 5, No. 1, Issue 15, Jan.-Mar., 2016, Page: 18-22

scholarly journals Laparoscopic Management of Chemical Peritonitis Caused by Dermoid Cyst Spillage

2011 ◽  
Vol 15 (3) ◽  
pp. 403-405 ◽  
Author(s):  
Alireza A. Shamshirsaz ◽  
Amirhoushang A. Shamshirsaz ◽  
Jill L. Vibhakar ◽  
Christina Broadwell ◽  
Bradley J. Van Voorhis
Keyword(s):  
Dermoid Cyst ◽  
Laparoscopic Management ◽  
Chemical Peritonitis

scholarly journals A case of successful laparoscopic surgery for chemical panperitonitis following a spontaneous rupture of the ovarian dermoid cyst

2009 ◽  
Vol 25 (2) ◽  
pp. 408-413
Author(s):  
Shimpei Tohjo ◽  
Motofumi Yokoyama ◽  
Kazuko Takagi ◽  
Norihito Yuge ◽  
Yuhko Oshita ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Dermoid Cyst ◽  
Spontaneous Rupture ◽  
Ovarian Dermoid Cyst

scholarly journals Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

2017 ◽  
Vol 4 (3) ◽  
pp. 993
Author(s):  
Sujan Narayan Agrawal ◽  
Sunita Meshram ◽  
Kamlesh Dhruv
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Laparoscopic Approach ◽  
Normal Activity ◽  
Organ Injury ◽  
Cross Sectional ◽  
Duration Of Hospital Stay ◽  
Duration Of Surgery

Background:Good outcome has been reported with the laparoscopic approach in uncomplicated appendicitis, but a higher incidence of postoperative intraabdominal abscesses has been reported after laparoscopic appendectomy in complicated appendicitis. Objective was to study the efficacy of laparoscopic appendectomy.Methods: A Hospital based cross sectional study was carried out among of 302 patients. The study duration was from June 2004 to December 2006. Institutional Ethics Committee permission was obtained. Informed individual consent was taken. Out of 302 subjects, 236 underwent open appendectomy and 66 underwent laparoscopic appendectomy.Results:It was observed that in both the groups majority patients had retrocecal position of the appendix. The amount of blood loss, adjacent organ injury and duration of surgery were similar in both the groups. The difference in the incidence of wound infection in both groups was not found to be statistically significant. But the antibiotic use was significantly less in the LA group compared to OA group. It was found that time to resumptions of oral fees, duration of hospital stay and time to return to normal duties were significantly lesser in LA group compared to OA group. (p < 0.001). As per the cosmetic end result, majorities were satisfied in LA group and rated the surgery as excellent as compared to patients in OA group.Conclusions:Laparoscopic appendectomy was better than open appendectomy with respect to wound infection, tackling co-existing pathology, duration of hospital stay, earlier return to normal activity, excellent cosmetic end result, lesser use of antibiotics and earlier resumption of oral feeds.

scholarly journals Comparison of Laparoscopic and Open Emergency Surgery for Colorectal Perforation: A Retrospective Study

2021 ◽  
Author(s):  
Kensuke Kudou ◽  
Tetsuya Kusumoto ◽  
Sho Nambara ◽  
Yasuo Tsuda ◽  
Eiji Kusumoto ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Hospital Stay ◽  
Emergency Surgery ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Open Group ◽  
Emergency Setting ◽  
Intraoperative Blood Loss ◽  
Colorectal Perforation

Abstract Background This study aimed to clarify the safety and efficacy of laparoscopic surgery for colorectal perforation by comparing the clinical outcomes between laparoscopic and open emergency surgery for colorectal perforation. Methods We retrospectively reviewed the data of 100 patients who underwent surgery for colorectal perforation. The patients were categorized into two groups: the open group included patients who underwent laparotomy, and the laparoscopic group included those who underwent laparoscopic surgery. Clinical and operative characteristics and postoperative outcomes were evaluated. Results The open and laparoscopic groups included 58 and 42 patients, respectively. More than half of the patients in both groups developed perforation in the sigmoid colon (open, 55.2%; laparoscopic, 59.5%). The most common cause of perforation was diverticulum, followed by colorectal cancer. The mean intraoperative blood loss tended to be lower in the laparoscopic group than in the open group (78.8 mL versus 160.1 mL; P=0.0756). Hospital stay tended to be shorter in the laparoscopic group than in the open group (42.5 versus 55.7 days; P=0.0965). There were no significant differences in either the short- or long-term outcomes between the two groups. Univariate and multivariate analyses showed that the choice of surgical approach (open versus laparoscopic) did not affect overall survival in patients with colorectal perforation. Conclusions The laparoscopic approach for colorectal perforation in an emergency setting is a safe procedure compared with the open approach. The laparoscopic approach was associated with a decrease in intraoperative blood loss and a shorter length of hospital stay.

Laparoscopic vs open surgery during the COVID-19 pandemic: what are the risks?

2021 ◽  
Author(s):  
C Hadjittofi ◽  
SS Seraj ◽  
A Uddin ◽  
ZJ Ali ◽  
PL Antonas ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Survival Data ◽  
Open Surgery ◽  
Virus Transmission ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Staff Members ◽  
Significant Difference ◽  
The Uk

Introduction The initial intercollegiate surgical guidance from the UK during the COVID-19 pandemic resulted in significant changes to practice. Avoidance of laparoscopy was recommended, to reduce aerosol generation and risk of virus transmission. Evidence on the safety profile of laparoscopy during the pandemic is lacking. This study compares patient outcomes and risk to staff from laparoscopic and open gastrointestinal operations during the COVID-19 pandemic. Methods Single-centre retrospective study of gastrointestinal operations performed during the peak of the COVID-19 pandemic. Demographic, comorbidity, perioperative and survival data were collected from electronic medical records and supplemented with patient symptoms reported at telephone follow up. Outcomes assessed were: patient mortality, illness among staff, patient COVID-19 rates, length of hospital stay and postdischarge symptomatology. Results A total of 73 patients with median age of 56 years were included; 55 (75%) and 18 (25%) underwent laparoscopic and open surgery, respectively. All-cause mortality was 5% (4/73), was related to COVID-19 in all cases, with no mortality after laparoscopic surgery. A total of 14 staff members developed COVID-19 symptoms within 2 weeks, with no significant difference between laparoscopic and open surgery (10 vs 4; p=0.331). Median length of stay was shorter in the laparoscopic versus the open group (4.5 vs 9.9 days; p=0.011), and postdischarge symptomatology across 15 symptoms was similar between groups (p=0.135–0.814). Conclusions With appropriate protective measures, laparoscopic surgery is safe for patients and staff during the COVID-19 pandemic. The laparoscopic approach maintains an advantage of shorter length of hospital stay compared with open surgery.

Unilateral Ovarian Dermoid Cyst Accompanied by an Ipsilateral Paratubal Cyst in a Girl with Proteus Syndrome Discovered by Laparoscopic Surgery

2010 ◽  
Vol 23 (3) ◽  
pp. e107-e110 ◽  
Author(s):  
Jin Hwa Hong ◽  
Jae Kwan Lee ◽  
Seung Hun Song ◽  
Jong Ha Hwang ◽  
Kyung A. So ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Dermoid Cyst ◽  
Proteus Syndrome ◽  
Ovarian Dermoid Cyst ◽  
Paratubal Cyst

Duration of hospital stay after gynaecologic laparoscopic surgery: preferences of patients

2013 ◽  
Vol 288 (2) ◽  
pp. 335-339 ◽  
Author(s):  
Benjamin Tuschy ◽  
Sebastian Berlit ◽  
Marc Sütterlin ◽  
Amadeus Hornemann
Keyword(s):  
Laparoscopic Surgery ◽  
Hospital Stay ◽  
Duration Of Hospital Stay

scholarly journals KISTA DERMOID OVARIUM KANAN

2018 ◽  
Vol 18 (3) ◽  
Author(s):  
Mohd Andalas ◽  
Cut Rika Maharani ◽  
Shazni Nadia ◽  
Violita Aprilyana
Keyword(s):  
Dermoid Cyst ◽  
Ultrasound Examination ◽  
Lower Abdominal Pain ◽  
Laparoscopic Approach ◽  
Reproductive Period ◽  
Chief Complaint ◽  
Laparoscopic Cystectomy ◽  
Postoperative Diagnosis ◽  
The Right ◽  
Ovarian Dermoid Cyst

Abstrak. Kista ovarium merupakan  tumor yang paling umum dengan prevalensi melebihi 30%.Kista Dermoid pada ovarium dapat terjadi pada semua usia dengan prevalensi tertinggi pada usia reproduksi (16–55 tahun) dengan insidensi tertinggi pada usia 30 tahun.Seorang  perempuan berusia 33 tahun datang dengan keluhan nyeri perut kanan bawah yang dirasakan sejak 2012. Nyeri yang dialami menjalar sampai ke pinggang. Kemudian pasien dilakukan pemeriksaan ultrasonografi  dan tampak masa kista berukuran 5,35x4,52 cm pada ovarium kanan. Pasien kemudian dilakukan tindakan kistektomi perlaparoskopi. Pasca pembedahan pasien didiagnosa dengan kista dermoid ovarium kanan. Pendekatan laparoskopi tidak membutuhkan waku yang lama dengan perdarahan yang minimal. Kista dermoid ovarium bersifat jinak sehingga prognosis setelah dilakukan pengangkatan ad bonam. Meskipun ada kemungkinan bertansformasi menjadi keganasan. Kata Kunci: Kista Ovarium, Kista Dermoid, Ultrasonografi, Kistektomi per Laparoskopi Abstract. Ovarian cysts are the most common tumor, the prevalence is approximately more than 30%. Dermoid cysts in the ovary can occur at any time with the highest prevalence at reproductive period (16-55 years), especially at the age of  30 years. A 33-year-old woman came with chief complaint  lower abdominal pain since 2012. The pain  spread to the waist. Then the patient performed an ultrasound examination revealed the presence of cyst on the right ovary measured 5.35x4.52 cm. The patient then performed laparoscopic cystectomy. Postoperative diagnosis was a right ovarian dermoid cyst. The laparoscopic approach does not require long periods of time with minimal bleeding. Ovarian dermoid cysts are benign  with a better prognosis after removal. Although there is a possibility to transform into malignancy.Keywords: Ovarian Cyst, Dermoid Cyst, Ultrasonography,  Laparoscopic, Cystectomy

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