Management of ovarian dermoids without laparoscopy or laparotomy

European Journal of Obstetrics, Gynecology, and Reproductive Biology
S S Sheth

Abstract

To report experience of managing ovarian dermoids via the vaginal route. A series of 26 cases managed this way either with or without hysterectomy and for comparison 10 women managed by laparotomy and 6 who underwent laparoscopic ovarian cystectomy or oophorectomy were considered. The vaginal approach was successful in all patients, without need for laparoscopic assistance or a switch over to laparotomy. Spill was minimal or absent in the vaginal group and recovery significantly faster in the vaginal and laparoscopic groups compared to the laparotomy group. Hospital stay was slightly shorter in the vaginal than the laparoscopic group. No disposable material or equipment was used in the vaginal or laparotomy group. For mobile, benign ovarian teratoma, the vaginal route should be strongly considered to minimise invasive surgery, particularly when the operator is an experienced vaginal surgeon or laparoscopic equipment or laparoscopic surgeons are not easily available. Reduced spillage and speedier recovery are important advantages.

References

Jul 1, 1991·British Journal of Obstetrics and Gynaecology·S S Sheth
Jan 1, 1995·Obstetrics and Gynecology·G PardiS Marcozzi
Jul 1, 1996·American Journal of Obstetrics and Gynecology·C Chapron, J B Dubuisson
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Feb 26, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·A AyhanA Ayhan

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Citations

Dec 31, 2002·BJOG : an International Journal of Obstetrics and Gynaecology·Shirish S Sheth
Nov 19, 2014·Journal of Obstetrics and Gynaecology of India·Urvashi JhaRamandeep Kaur
Sep 1, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chin-Jung WangYung-Kuei Soong
Feb 11, 2005·The Journal of the American Association of Gynecologic Laparoscopists·Spiros MilingosStylianos Michalas
Sep 1, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Shirish S Sheth
Jan 18, 2012·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jaeman BaeSoo-Nyung Kim

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