OVARIAN CYST

LAPAROSCOPIC MANAGEMENT

Abstract

OBJECTIVE: To assess the results of operative laparoscopy in the management of ovarian cysts.
DESIGN: Retrospective evaluation of women who had undergone laparoscopic management of cystic ovarian masses. SUBJECT: Forty five women with clinically and sonographically benign cystic ovarian masses. INTERVENTION: Operative laparoscopy under general anaesthesia. RESULTS: No major intra-operative complication occurred in this series. Minor complications included injury of inferior epigastric artery, nausea, shoulder pain and urinary retention. Adnexal cystic mass varied form 4 to 12 cms with a mean size 6.5 cms. Histopathological examination showed malignancy in 2% of cases. CONCLUSION: Operative laparoscopy appears to be safe and effective method for treating clinically and ultrasonographically benign ovarian cysts. Day surgery is possible in majority of cases.