Ultra-minilaparotomy for large benign ovarian cysts

Bae, Jaeman; Kim, Soo Nyung

Abstract

OBJECTIVE
To evaluate the feasibility and outcome of surgical management of large benign ovarian cysts using ultra-minilaparotomy.
METHODS
Twenty-five patients underwent ultra-minilaparotomy that involved a <3 cm skin incision for benign ovarian cysts with maximum diameter > or =10 cm. Patients' characteristics, operative time, estimated amount of blood loss (EBL), operative complications, postoperative outcomes and the pathological findings were examined.
RESULTS
The mean age was 37 years (range 19 to 78 years). Body mass index were 23 (range 16 to 34). The maximum diameter of the ovarian cysts ranged from 10 to 28 cm (mean of 12 cm). The mean (range) operative time was 38 minutes (25 to 80 minutes). The median (range) EBL was 40 mL (20 to 120 mL). No patients received blood transfusion. The median (range) post-operative hospital stay was 2 days (1 to 3 days). There were no operative or post-operative complications. The surgical procedures performed were ovarian cystectomy (17 cases), unilateral salpingo-oophorectomy (6 cases) and unilateral oophorectomy (2 cases). The pathology findings include eight endometriotic cysts, seven mucinous cystadenoma, five dermoid cysts, four serous cystadenoma and one ovarian fibroma.
CONCLUSION
Utra-minilaparoptomy is feasible and safe minimally invasive strategy for managing patients with large ovarian cysts.