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Laparoscopic Removal of Ovarian Teratoma
Gynecology / Sep 12th, 2022 6:28 am     A+ | a-


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 cm 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
3 COMMENTS
Dr. Bharti Saxena
#1
Sep 16th, 2022 10:54 am
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.
Dr. Deepshikha Srestha
#2
Oct 8th, 2022 10:34 am
Teratomas are the most common germ cell tumors. Patients can be asymptomatic or present with severe pain due to torsion or cyst rupture. Laparoscopy is the standard approach for surgical management of benign adnexal masses. It is associated with a reduction in the incidence of infection, postoperative complications, hospital stay duration and total cost. In the past decade, implementation of laparoscopy in adnexal teratoma removal has increased significantly due to multiple reports supporting its safety and efficacy.
Dr. Darshita Patel
#3
Oct 16th, 2022 9:51 am
Teratomas are rare tumors that may hold different types of tissue such as bone, teeth, muscle, and hair. They’re mostly found in the ovaries, testicles, and tailbone, but also sometimes grow in the nervous system and abdomen.‌ A teratoma may be cancerous or benign, depending on its structure. Scientists have long regarded them as puzzling. Some believe they may be the clue to understanding cancer.
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World Laparoscopy Hospital
Cyber City
Gurugram, NCR Delhi, 122002
India

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