Objective: The aim of this study is to determine the efficacy and safely of laparoscopic management of ovarian teratomas and to analyse the changes in surgical techniques performed at our Departement from 1980 to 1996. Methods: Data from 221 patients treated for dermoid cyst were analysed. Laparoscopic treatement was performed in 185 women, in 36 cases laparotomy was necessary. Laparoscopic procedures included: radical treatment, transperitoneal cystectomy, intraperitoneal cystectomy and since 1992 intraperitoneal cystectomy without puncture. Results: Among 221 cases treated, 91,8% were diagnosed as teratomas at laparoscopy, one case of immature teratoma was encountered. The technique used to treat dermoid cysts has changed over the years. Since 1989 only 4 patients have been treated by laparotomy and since 1993 cystectomy without puncture was tried in 24,4% of cases and it was successful in 55% of cases. Two cases of chemical peritonitis occurred among the patients whose teratoma was punctured. Conclusions: Laparoscopic diagnosis of ovarian teratoma is generally easy. However, malignant transformation may be encountered. Spillage occurs very often when treating dermoids by laparoscopy, but granulomatous peritonitis is uncommon. However spillage should be avoided as much as possible and cystectomy without puncture should be always tried when the diameter of teratoma is less than 7 cm.
|Number of pages||7|
|Journal||Italian Journal of Gynaecology and Obstetrics|
|Publication status||Published - 1997|
- Dermoid cyst
ASJC Scopus subject areas
- Obstetrics and Gynaecology