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J Am Assoc Gynecol Laparosc. 2001 Nov;8(4):568-72.

Marsupialization of the cyst as a step in laparoscopic management of ovarian cysts.

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  • 1Regional 10th Obstetrical-Gynecological Hospital, Tashkent City Health Care System, Buyuk Yupak Yulli III-9 Tashkent 700077, Uzbekistan.

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.

PMID:
11677338
[PubMed - indexed for MEDLINE]
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