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Laparoscopic Management of Ovarian Dermoid Cyst
Gynecology / Dec 22nd, 2016 7:22 am     A+ | a-


Mature cystic teratomas is one of the common ovarian pathology is female of reproductive age group. Ovarian teratoma is often referred to as dermoid cysts. Dermoid cyst are the most common germ cell tumors of the ovary. Histologically, dermoid cysts contain different tissues developed from one or all three germinative layers. The most commonly observed are tumors of ectodermic tissue.

In the recent years of new diagnostic modalities, transvaginal sonographic diagnosis of ovarian dermoid cysts together with laparoscopic approach have greatly improved the treatment of this benign lesion. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. 

In most of the cases laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon. The risk of chemical peritonitis can be minimized when undertaking laparoscopic removal of ovarian dermoid cysts if the peritoneal cavity is washed out thoroughly from spillage of cyst contents. Drainage of peritoneal cavity should be performed in the patients with the ruptured dermoid cysts.

The risk of granulomatous peritonitis can be minimized by undertaking laparoscopic removal of dermoid cysts with the routine intraoperative use of an endoscopic retrieval bag to prevent intraperitoneal spillage of cysts contents. The spilled contents should be aspirated from the peritoneal cavity as soon as possible since it can cause development of chemical peritonitis. Spilled fluid from ovarian dermoid cysts should be removed as soon as possible from the peritoneal cavity in order to prevent prolonged chemical peritonitis.

Nowadays Laparoscopic or robotic surgery should be considered as a method of choice for the removal of ovarian dermoid cysts in female. It should be performed by minnnnnnimal access surgeons with considerable experience in advanced laparoscopic surgery. All the experienced laparoscopic surgeons or gynecologists should consider minimally invasive surgery as an alternative to laparotomy in management of ovarian teratoma. We concluded that the suggested big risk of chemical peritonitis is unnecessary and risk of chemical peritonitis can be every easily minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is thoroughly washed out by normal saline rom spillage of cysts contents often called as copious lavage. 

 
7 COMMENTS
Dr. Madhu Singh
#1
Apr 26th, 2020 6:16 am
Great video of Laparoscopic Management of Ovarian Dermoid Cyst. Excellent video, good performance, it can be achieved only by getting proper training.
Motin
#2
May 12th, 2020 12:24 pm
So wonderful demonstration of Laparoscopic Management of Ovarian Dermoid Cyst. Prof Dr. R. K. Mishra i am so grateful to your teaching and well explanation.
Dr Nitish Kumar Yadav
#3
May 16th, 2020 9:43 am
Thanks Dr .Mishra very beautiful video presentation of Laparoscopic Management of Ovarian Dermoid Cyst. Thank you sir you made us very amazing video and very informative thank you! I
AMIT KUMAR
#4
May 21st, 2020 11:38 am
This video is amazing, Thanks for showing this video of Laparoscopic Management of Ovarian Dermoid Cyst. Dr Mishra thank you for teaching suitable techniques in very easy way. Really helpful.
Dr. Suresh Bansal
#5
May 22nd, 2020 12:41 pm
Thank you sir for teaching us this superb technique, The way of your Explaining and demonstration of Laparoscopic Management of Ovarian Dermoid Cyst. really Awesome. This is an wonderful video presentation. Thank you for posting such a useful video very informative and educative.
Dr. Abhinay Bindra
#6
Jun 11th, 2020 6:45 am
Thank you so much sir! It's of great help for us. We got it by following your steps. it helped us a lot....thank u so so so much for your video of………..
Dr. Pamela Martina
#7
Jun 15th, 2020 3:18 pm
I love the enthusiasm in your teaching. Keeps me focused as well as excited. Thank you!! Dr. Mishra you really know what learners need! Can't appreciate more. you are an Amazing Teacher.
Thanks for sharing this great presentation of laparoscopic management of ovarian dermoid cyst on Internet.
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