Laparosc Endosc Surg Sci . 2020; 27(1): 16-20 | DOI: 10.14744/less.2020.09326

Comparison of laparoscopic cystectomy and purse-string suture technique in the surgical treatment of ovarian dermoid cysts

Remzi Atilgan, Þehmus Pala
Department of Obstetrics and Gynecology, Fýrat University Faculty of Medicine, Elazýð, Turkey

INTRODUCTION: This study is a comparison of the outcomes of 2 cystectomy modalities in the surgical treatment of ovarian dermoid cysts.
METHODS: The intraoperative and postoperative results of 44 ovarian dermoid cyst patients who underwent surgical treatment between 2012 and 2019 using 2 different methods were compared. The study population was divided into 2 groups: Group 1 (n=21) underwent cystectomy using the purse-string suture method via mini-laparotomy and Group 2 (n=23) underwent laparoscopic cystectomy.
RESULTS: The mean ovarian cyst diameter was 11 cm in Group 1 and 6 cm in Group 2. The diameter of the cyst was significantly larger in Group 1 than in Group 2. The duration of the operation was significantly shorter in Group 1 than Group 2 (45 min. vs. 70 min.). The intraoperative rupture rate was significantly lower in Group 1 compared with Group 2 (4.7% vs. 30%). Chemical peritonitis did not develop in either group. The duration of hospitalization was similar between the groups. The recurrence rate was significantly lower in Group 1 than Group 2 (0% vs. 21%).
DISCUSSION AND CONCLUSION: For clinicians who do not have the optimal conditions or surgical experience for a laparoscopic operation, and particularly for large ovarian dermoid cysts, the cystectomy technique performed using a purse-string suture via a mini-Pfannenstiel incision can be an effective treatment method.

Keywords: Laparoscopy, mini-Pfannenstiel incision; ovarian dermoid cyst; purse-string suture.

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Ovaryan dermoid kistlerin cerrahi tedavisinde laparoskopik kistektomi ile purse-string sütür tekniðinin karþýlaþtýrýlmasý

Remzi Atilgan, Þehmus Pala
Fýrat Üniversitesi Týp Fakültesi, Kadýn Hastalýklarý ve Doðum Ana Bilim Dalý, Elazýð

GÝRÝÞ ve AMAÇ: Ovaryan dermoid kistlerin cerrahi yönetiminde farklý iki kistektomi yönteminin karþýlaþtýrýlmasý.
YÖNTEM ve GEREÇLER: Kliniðimizde 2012 ile 2019 yýllarý arasýnda farklý iki yöntemle cerrahi tedavi yapýlan 44 ovaryan dermoid kist olgusunun intra ve postoperatif sonuçlarý karþýlaþtýrýldý.
Grup 1 (n=21): Minipfannesntiel kesi ile birlikte pursestring sütür yöntemi kullanýlarak yapýlan kistektomi olgularý.
Grup 2 (n=23): Laparoskopik kistektomi yapýlan olgular.

BULGULAR: Over kist çapý G1’ de ortalama 11 cm, G2’ de ise 6 cm idi. Kist çapý G1’ de G2’ ye göre anlamlý olarak daha büyük idi. Operasyon süresi G1’ de G2’ ye göre anlamlý olarak daha kýsa idi (45 dk’ ya karþýlýk 70 dk). Ýntraoperatif rüptür oraný G2’ de G1’ e göre anlamlý olarak daha yüksek idi (%30’ a karþýlýk %4,7). Her iki grupta da kimyasal peritonit geliþmedi. Hastanede kalýþ süresi iki grup arasýnda benzerdi. Nüks oraný G1’ de G2’ e göre anlamlý olarak daha düþük idi ( % 0’a karþýlýk %21).
TARTIÞMA ve SONUÇ: Özellikle 8 cm’ nin üzerindeki ovaryan dermoid kistlerin tedavisinde minipfannenstiel kesi ile birlikte pursestring sütür tekniði etkili bir tedavi yöntemi olabilir.

Anahtar Kelimeler: laparoskopi, mini-pfannenstiel insizyon; ovarian dermoid kist; pursestring sütür.

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