Kalegyn AV, Sadykova MH. Marsupialization of the cyst as a step in laparoscopic management of ovarian cysts.
THE JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS 2001;
8:568-72. [PMID:
11677338 DOI:
10.1016/s1074-3804(05)60622-6]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
STUDY OBJECTIVE
To compare a traditional technique of ovarian cyst management with a marsupialization method (MM) developed by the authors.
DESIGN
Prospective, observational study (Canadian Task Force classification II-1).
SETTING
Central Asian city teaching hospital.
PATIENTS
Eighty-one women with benign ovarian cysts.
INTERVENTION
Traditional laparoscopic cyst management and MM. Cysts were removed through a cannula site after being placed into an endobag and marsupialization. With this technique, cysts were emptied partially or completely by aspiration and brought outside the abdominal cavity through a 1.5- to 2.5-cm cannula incision site. Some of the cyst contents may be removed during extraction. The technique allows the surgeon to interrupt cyst pedicles extracorporally or intracorporally.
MEASUREMENTS AND MAIN RESULTS
With traditional methods of laparoscopic cystectomy the spillage rate was 18% (6 patients), compared with 16% (8 patients) for MM. Operating time, blood loss, and mean hospital stay were not statistically different between groups (p >00.5).
CONCLUSION
With MM technique, cystectomy is simple, reliable, and cost effective.
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