Laparoscopic Ovarian Cystectomy

• November 05, 2022
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Ovarian cysts are a common cause for presentation to emergency departments and gynaecology clinics. Up to 10% of women will have surgery during their lifetime for the presence of an ovarian mass.1 The majority of benign ovarian cystectomies can be performed laparoscopically. Basic investigations are completed to stratify the risk of ovarian malignancy. These will include a transvaginal ultrasound scan and tumour markers The aims of a laparoscopic ovarian cystectomy are to have minimal blood loss, to perform efficient surgery and to preserve ovarian tissue. It is important to keep the cyst intact to avoid the inadvertent spread of undiagnosed malignancy and, in the case of a dermoid cyst, to avoid chemical peritonitis. Endometriomas are an exception and can be ruptured.

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