scholarly journals Ovarian Cysts Management Following Laparoscopic Surgery

2021 ◽  
pp. 488-492
Author(s):  
Jabeen Atta ◽  
Zubair Ahmad Yousfani ◽  
Khenpal Das ◽  
Tahseen Maryam ◽  
Ghulamullah Rind ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Ovarian Cyst ◽  
Frozen Section ◽  
Ovarian Cysts ◽  
Cystic Fluid ◽  
Abdominal Approach ◽  
Nasogastric Tubes ◽  
Large Ovarian Cyst ◽  
Surgery Department ◽  
Endotracheal Anesthesia

Objective: To analyze diagnostic and surgical outcomes in patients with extremely large ovarian cysts treated by laparoscopic surgery. Methods: A total of 120 cases of large adnexal masses and suspected for malignancy were treated laparoscopically at the at general surgery department of Liaquat University of Medical & Health Sciences. Under endotracheal anesthesia, all surgeries were performed using nasogastric tubes in the stomach. An incision of approximately 1.5 centimeter was made at the supraumbilical or umbilical region and peritoneal cavity was approached. The intra-abdominal approach in all cases was cautiously standardized. The resection of the adnexal mass was performed as per routine method. Results: 12 females were premenopausal and 8 were postmenopausal. 12 women presented with the signs of urinary retention, urinary urgency and abdominal pain. Incidental sonography detected cysts in 8 patients which were asymptomatic. The average volume of the resected cystic fluid was 3000ml (range 900 to 9000 ml). The specimens of frozen section were obtained within the surgical procedure in all patients except 2 patients having para-ovarian cysts. The histopathology presented mucinous benign cystadenoma. There was no blood loss and related other complications reported in all operations. Conclusion: Laparoscopic management of large ovarian cyst observed to a effective, feasible and less complicated surgical option. However accurate selection and diagnosis of the patients, the any ovarian cyst size can be treated easily via laparoscopic surgery.

scholarly journals Laparoscopic management of large ovarian cysts

2017 ◽  
Vol 6 (5) ◽  
pp. 1999
Author(s):  
Beeresh C. S. ◽  
Divyasree Doopadapalli ◽  
Vimala K. V. ◽  
Krishna Lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Benign Pathology ◽  
Large Ovarian Cyst ◽  
Borderline Malignancy

Background: Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts.Methods: Thirty-eight patients from January 2014 to December 2016, presumed to be large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging and basic serum marker were only included in this study. The cysts were aspirated initially followed by cystectomy, oophorectomy or total hysterectomy depending on age, parity, coexisting pathology and desire for future fertility.Results: Out of 38 cases, 6 were non-ovarian adnexal masses. 8 out of rest 32 cases presented with pain due to torsion were managed on emergency basis, rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cms. One cases of borderline malignancy were detected and the rest showed benign pathology. Three of the cases required mini Laprotomy for specimen removal. Most of women were successfully treated laparoscopically without any complications and conversion to laparotomy was required in 3 cases.Conclusions: With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by general gynecologist is feasible.

scholarly journals Laparoscopic management of giant ovarian cyst in young woman: a case report

2018 ◽  
Vol 7 (4) ◽  
pp. 1660
Author(s):  
Meenakshi Gothwal ◽  
Aasma Nalwa ◽  
Garima Yadav ◽  
Mahendra Lodha ◽  
Pratibha Singh ◽  
...  
Keyword(s):  
Case Report ◽  
Laparoscopic Surgery ◽  
Surgical Treatment ◽  
Ovarian Cyst ◽  
Laparoscopic Approach ◽  
Early Mobilization ◽  
Ovarian Cysts ◽  
Analgesic Requirement ◽  
Midline Laparotomy ◽  
Postoperative Analgesic Requirement

Giant ovarian cysts are very rare nowadays and were conventionally treated by full midline laparotomy. In recent years, the laparoscopic approach is also practiced but it needs a lot of expertise and only a few cases have been reported. As the surgical treatment of choice has become less invasive, laparoscopic surgery is considered more beneficial over laparotomy because of better cosmetic results, less blood loss, reduced postoperative analgesic requirement, early mobilization and faster discharge from the hospital and early resumption to normal day to day activity. We report a case of laparoscopic extirpation of a giant right ovarian cyst measuring 15 × 21 × 22 cm in young 24-year female.

scholarly journals Laparoscopic Management of Benign Ovarian Cysts: Three Years Experience in Combined Military Hospital, Dhaka

2020 ◽  
Vol 15 (2) ◽  
pp. 209-212
Author(s):  
Shahnur Chisty ◽  
Liza Chowdhury
Keyword(s):  
Laparoscopic Surgery ◽  
Ovarian Cyst ◽  
Age Groups ◽  
Clinical Problem ◽  
Military Hospital ◽  
Ovarian Cysts ◽  
Trocar Site ◽  
Postoperative Fever ◽  
Duration Of Surgery

Introduction: Ovarian cyst is a common clinical problem affecting women of all age groups. Laparoscopy should be considered as an alternative to laparotomy in the management of benign ovarian cysts. The aim of this study is to determine the safety, efficacy and outcome of laparoscopic surgery for benign ovarian cysts. Materials and Method: A Prospective observational study has been carried out during the period of Jun 2016 to May 2019 in combined military hospital Dhaka. Total 107 patients who underwent laparoscopic surgery for benign ovarian cysts during this period were included in this study. Results: The maximum number of women was in the 21-30 year- old age groups. Majority were endometriotic cyst (45.79%) followed by perovarian cysts (14.01%) and dermoid cysts (12.14%). The diameter ranges from 4-15 cm.and most of them were unilateral (91.5%). Ovarian cystectomy is the most commonly performed procedure (88.78%). Mean duration of surgery was 62.75 minutes. Complications were also fewer like postoperative fever (22.2%), and trocar site infection.(11.2 %). None of the pts required conversion to laparotomy. Conclusion: With a careful preoperative screening the laparoscopic surgery is a safe and effective treatment for benign ovarian cyst Laparoscopic surgery seems to offer significant advantages such as less adverse effects, reduced hospital stay and better quality of life. JAFMC Bangladesh. Vol 15, No 2 (December) 2019: 209-2012

scholarly journals Vanishing large ovarian cyst with thyroxine therapy

2013 ◽  
Vol 2013 ◽  
Author(s):  
Pramila Dharmshaktu ◽  
Aditya Kutiyal ◽  
Dinesh Dhanwal
Keyword(s):  
Differential Diagnosis ◽  
Replacement Therapy ◽  
Ovarian Cyst ◽  
Elective Surgery ◽  
Hormone Replacement ◽  
Surgical Excision ◽  
Ovarian Cysts ◽  
List Type ◽  
Thyroxine Therapy ◽  
Large Ovarian Cyst

Summary A 21-year-old female patient recently diagnosed with severe hypothyroidism was found to have a large ovarian cyst. In view of the large ovarian cyst, she was advised to undergo elective laparotomy in the gynaecology department. She was further evaluated in our medical out-patient department (OPD), and elective surgery was withheld. She was started on thyroxine replacement therapy, and within a period of 4 months, the size of the cyst regressed significantly, thereby improving the condition of the patient significantly. This case report highlights the rare and often missed association between hypothyroidism and ovarian cysts. Although very rare, profound hypothyroidism that can cause ovarian cysts in an adult should always be kept in the differential diagnosis to avoid unnecessary ovarian surgery. Learning points Hypothyroidism should be considered in the differential diagnosis of adult females presenting with multicystic ovarian tumours. Adequate thyroid hormone replacement therapy can prevent these patients from undergoing unnecessary and catastrophic ovarian resection. Surgical excision should be considered only when adequate thyroid replacement therapy fails to resolve ovarian enlargement. In younger women with ovarian cysts, it is also desirable to avoid unnecessary surgery so as to not compromise fertility in the future.

scholarly journals Ovarian cyst mimicking acute appendicitis in pregnancy: A case report

2021 ◽  
Vol 8 (3) ◽  
pp. 431-433
Author(s):  
Vijay Verma ◽  
Supriya ◽  
Ravi Verma
Keyword(s):  
Acute Appendicitis ◽  
Ovarian Cyst ◽  
Surgical Intervention ◽  
Ovarian Cysts ◽  
Adnexal Masses ◽  
Emergency Intervention ◽  
Large Ovarian Cyst ◽  
Asymptomatic Women ◽  
Ovarian Masses ◽  
In Pregnancy

Ovarian cysts, also known as ovarian masses or adnexal masses are fluid filled sacs or pockets in an ovary or on its surface. These are found incidentally in asymptomatic women. Ovarian cysts are considered large in size when they are over 5 cm and giant when they are over 15 cm. Acute appendicitis is the most common surgical problem encountered during pregnancy. Pregnancy is associated with various anatomic and physiologic changes that may disguise and delay the diagnosis of acute appendicitis. Antibiotic treatment does not always improve the outcome and emergency intervention is required. Early diagnosis and surgical intervention is mandatory for the eventful outcome of pregnancy. Here we present a case of a primigravida patient with a large ovarian cyst mimicking acute appendicitis.

scholarly journals Improvement and effect of stress responses and ovarian reserve function in patients with ovarian cysts after laparoscopic surgery

2019 ◽  
Vol 47 (7) ◽  
pp. 3212-3222
Author(s):  
Jiehan Xu ◽  
Hongfang Shao ◽  
Yan Yang ◽  
Xiaohong Shi ◽  
Minfang Tao
Keyword(s):  
Laparoscopic Surgery ◽  
Stress Response ◽  
Ovarian Cyst ◽  
Ovarian Reserve ◽  
Stress Responses ◽  
Maximum Diameter ◽  
Ovarian Cysts ◽  
Control Group ◽  
Response Level ◽  
Experimental Group

Objectives This study aimed to examine improvement and the effect of stress responses and ovarian reserve function in patients with ovarian cysts after laparoscopic surgery. Methods A retrospective analysis was performed on 117 patients with ovarian cysts. Fifty-one patients who were treated with abdominal ovarian cyst dissection were in the control group. Sixty-six patients who were treated with laparoscopic ovarian cyst dissection were in the experimental group. Results Operative conditions and recovery in the experimental group were better than those in the control group. After surgery, changes in most ovarian reserve function indices in the experimental group were significantly less than that in the control group. The maximum diameter of the ovary and the number of antral follicles after surgery were less in the experimental group than in the control group. Changes in stress response indices after surgery were significantly less in the experimental group than in the control group. Conclusions Laparoscopic ovarian cyst surgery may have a relatively small adverse effect on multiple related indices of ovarian reserve function. The patient’s stress response level is also lower after this surgery. Therefore, laparoscopic ovarian cyst surgery is suitable for treating patients with ovarian cysts.

scholarly journals Rare case of torsion of giant ovarian mass post-colonoscopy

2021 ◽  
Vol 2021 (3) ◽  
Author(s):  
Irene A T Ng ◽  
Jolene S M Wong ◽  
Jermaine Wong ◽  
Claramae S Chia ◽  
Chin-Ann J Ong
Keyword(s):  
Abdominal Pain ◽  
Ovarian Cyst ◽  
Frozen Section ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Serous Cystadenoma ◽  
Ovarian Torsion ◽  
Ovarian Mass ◽  
Large Ovarian Cyst ◽  
The Right

ABSTRACT We present an unprecedented case of torsion of a large ovarian cyst following colonoscopy. A 43-year-old female was found to have a 20 × 13 × 19 cm pelviabdominal mass possibly arising from the right ovary. Endoscopic evaluation was performed prior to planned resection of the ovarian mass. The patient experienced progressive lower abdominal pain after the procedure with a computed topography finding of torsion. She underwent exploratory laparotomy, right salpingo-oophorectomy with intra-operative frozen section and omentectomy. Final histology revealed features of benign serous cystadenoma with extensive haemorrhagic infarction in keeping with torsion. To our knowledge, this is the first reported case of torsion of a large ovarian cyst after colonoscopy. We propose a postulated mechanism of this patient’s ovarian torsion and urge clinicians to be cognizant of acute ovarian torsion as a cause of severe abdominal pain following endoscopy.

scholarly journals Chronic constipation: An unusual presentation of a Giant Serous Cystadenoma of ovary

2013 ◽  
Vol 12 (1) ◽  
pp. 108-109
Author(s):  
Sabina Khan ◽  
Mohammad Jaseem Hassan ◽  
Musharraf Hussain ◽  
Sujata Jetley
Keyword(s):  
Ovarian Cyst ◽  
Chronic Constipation ◽  
Medical Science ◽  
Serous Cystadenoma ◽  
Unusual Presentation ◽  
Mesenteric Cyst ◽  
Ovarian Cysts ◽  
Large Size ◽  
Large Ovarian Cyst ◽  
Missed Diagnosis

Benign ovarian cysts are fairly common. However, some of them may attain a large size and may prove to be malignant also. Here we report a case of 48 years old female presenting with chronic constipation due to a large ovarian cyst which was misdiagnosed on CT as mesenteric cyst. This case is being reported because of its large size, unusual presentation and missed diagnosis. DOI: http://dx.doi.org/10.3329/bjms.v12i1.11540 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.108-109

scholarly journals Laparoscopic Management of Large Ovarian Cysts

2017 ◽  
Vol 1 (1) ◽  
pp. 18-21
Author(s):  
Divyasree Doopadapalli ◽  
CS Beeresh ◽  
KR Vimala ◽  
Krishna lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Large Ovarian Cyst ◽  
Future Fertility ◽  
Borderline Malignancy

ABSTRACT Introduction Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts. Settings and design Rural teaching hospital – prospective study. Materials and methods Thirty-eight patients from January 2014 to December 2016 presumed to be with large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging, and basic serum marker were only included in this study. The cysts were aspirated initially, followed by cystectomy, oophorectomy, or total hysterectomy depending on age, parity, coexisting pathology, and desire for future fertility. Results Out of 38 cases, 6 were nonovarian adnexal masses. Eight of the 32 cases who presented with pain due to torsion were managed on emergency basis; rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cm. One case of borderline malignancy was detected and the rest showed benign pathology. Six of the cases required minilaparotomy for specimen removal. Most women were successfully treated laparoscopically without any complications, and conversion to laparotomy was required in three cases. Conclusion With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by gynecologist is feasible. How to cite this article Beeresh CS, Doopadapalli D, Vimala KR, Lingegowda K. Laparoscopic Management of Large Ovarian Cysts. Int J Gynecol Endsc 2017;1(1):18-21.

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