Laparoscopic Management of Huge Ovarian Cysts
At Laparoscopy Hospital New Delhi on 28th of August 2007 a 30cm big ovarian cyst was removed laparoscopically. The extremely large ovarian cyst presents a major challenge for the gynecological endoscopic surgeon to remove it laparoscopically.
By: Laparoscopy Hospital, Tilak Nagar, New Delhi
Huge size ovarian cysts are conventionally treated by laparotomy. Recent advances in laparoscopic surgical techniques have offered new possibilities for laparoscopic treatment of such very large ovarian cysts. We report on our experience this huge cyst of 30cm extremely large ovarian cysts that were managed laparoscopically.
The patient Geeta age about 36 year was from Rajauri Garden, New Delhi with this huge dermoid cyst. Palmer's point was selected for introduction of veress needle. An incision of for 3 trocatrs were made according to base ball diamond concept. The intra-abdominal management of patients was carefully standardized, including inspection of the pelvis, ovaries, upper abdomen, omentum, liver, and diaphragmatic surfaces for any growths or other signs of malignancy. A huge dermoid cyst of 30cm size was removed with the help of endobag.
Operative laparoscopy is regarded today as the gold standard for the surgical treatment of ovarian cysts. However, the size of ovarian cysts is still considered a major limiting factor for wider application of laparoscopic management.
In opinion of Director Laparoscopy Hopital, New Delhi, Prof.Dr.R.K.Mishra "With proper patient selection, the size of an ovarian cyst does not necessarily constitute a contraindication for laparoscopic surgery".
Dr. Mishra who is also the first University Qualified Master Minimal Access Surgeon of India said that the presence of both an expert laparoscopist and a gynecologic oncologist on call is mandatory but with the help of new technology available this type of surgery is no possible. The detail of this surgery video can be seen on You Tube or on the website http://www.laparoscopyhospital.com
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