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Transvaginal laparoscopic surgery for ovarian cysts
Author(s) -
Bae Jaeman,
Lee SunJoo,
Kim SooNyung
Publication year - 2012
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2011.11.010
Subject(s) - medicine , surgery , blood loss , laparoscopy , laparoscopic surgery , serous fluid , retrospective cohort study , blood transfusion , cyst , ovary
Objective To evaluate the effectiveness and feasibility of transvaginal laparoscopic surgery (TLS) using endoscopic instruments for management of ovarian cysts. Methods In a retrospective study, data from 140 patients with benign ovarian cysts who underwent TLS at Konkuk University Hospital between June 2007 and December 2008 were evaluated. The preoperative characteristics of patients, operative time, blood loss, complications, and postoperative outcomes were evaluated. Results The mean age of patients was 38 years (range, 16–82 years). TLS was accomplished in 136 women (97.1%). The more common pathology findings included 35 dermoid cysts, 28 endometriotic cysts, 23 mucinous cysts, 21 serous cysts, and 13 functional ovarian cysts. The median operative time was 35 minutes (range 15–110 minutes). The maximum diameter of the ovarian cysts ranged from 3 to 20 cm (mean 6 cm). The median estimated blood loss was 38 mL (range 10–80 mL). No patients received a blood transfusion. All of the patients were discharged within 24 hours of surgery. No major complications occurred. Conclusion Transvaginal laparoscopic surgery was found to be a feasible and cosmetically beneficial surgical technique for managing selected patients with benign ovarian cysts.