Leak-proof technique in laparoscopic surgery for large ovarian cysts.

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology
Taejong Song, Ji-Hee Sung

Abstract

The aim of this study was to compare the spillage rate and surgical outcomes between the leak-proof technique and the conventional technique in laparoscopy for large ovarian cysts (more than 15 cm in diameter) presumed to be benign tumours and free from adhesion. Thirty-five consecutive patients who underwent laparoscopy with the leak-proof technique between 2017 and 2019 (the practice change cohort) were compared retrospectively with 35 case-matched consecutive patients who underwent the conventional purse-string method between 2014 and 2016 (the historical cohort). In the practice change cohort, through the wound retractor in the umbilicus, large ovarian cysts were first covered with a sterilised vinyl membrane applied with a skin adhesive, then punctured, and the contents directly aspirated. The primary outcome was tumour spillage. The two cohorts had similar baseline characteristics. The spillage rate in the practice change cohort was significantly lower than in the historical cohort (0% vs 28.6%; p = .001). Other surgical outcomes, including operative time, operative blood loss, hospital stay, and operative complications were similar between the cohorts. In conclusion, laparoscopy with the leak-proof technique is reliable,...Continue Reading

References

Oct 25, 2011·Archives of Gynecology and Obstetrics·Shih-Shien Weng, Yeou-Lih Wang
Feb 11, 2012·Journal of Minimally Invasive Gynecology·Taejong SongDuk-Soo Bae
Jan 1, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·H S KimY B Kim
Jan 22, 2015·Clinical Obstetrics and Gynecology·Rachel M Clark SisodiaDavid M Boruta

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Citations

Sep 12, 2020·World Journal of Clinical Cases·Elisabetta SannaAntonio Macciò
Apr 20, 2021·Journal of Minimally Invasive Gynecology·Caroline C ElbaumShana Miles

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