StayCurrentMD · Massive, benign, cystic ovarian tumors: A technical modification for minimally invasive resection
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Article1 min read·Published Sep 2020Older

Massive, benign, cystic ovarian tumors: A technical modification for minimally invasive resection

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Article · Sep 2020 · 1 min read

In brief

In brief

Technical report describing a modified surgical approach for large benign ovarian cysts in children that combines controlled cyst decompression with minilaparotomy to enable ovarian-sparing resection while minimizing intraperitoneal spillage. The technique offers an alternative to traditional laparoscopy for cases where tumor size makes standard minimally invasive approaches impractical.

Written by the GCMD Library team from the article.

Abstract

The majority of large, cystic ovarian tumors presenting in children are benign and amenable to ovarian sparing surgery (OSS). Laparoscopy is impractical in these cases and when attempted has been associated with a high rate of intraperitoneal fluid spill. We present a modified technique for controlled cyst decompression that allows delivery of the ovary through minilaparotomy and subsequent OSS. Criteria that must be met for the procedure to be undertaken are discussed.

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