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Korean Journal of Obstetrics & Gynecology 2005;48(5):1241-1248.
Published online May 1, 2005.
Surgical treatment of ovarian dermoid cysts: a clinical evaluation between vaginal and laparoscopic removal.
Jong Woon Kim, Sang Hyun Park, Woo Dae Kang, Ki Min Kim, Seok Mo Kim, Sung Taek Oh, Ho Sun Choi
Department of Obstetrics and Gynecology, College of Medicine, Chonnam National University, Gwangju, Korea. hschoi@chonnam.ac.kr
Abstract
OBJECTIVE
This study was conducted to compare the results between vaginal and laparoscopic removal for surgical treatment of ovarian dermoid cysts. METHODS: This retrospective study was performed in 228 patients, who underwent vaginal (Group A: 159) or laparoscopic (Group B: 69) removal of ovarian dermoid cysts between January 1998 and May 2004. The vaginal removal was performed after reduction of mass size by suction of its contents, and laparoscopic removals with Lapbag(R). RESULTS: The mean age was 37.7 +/- 9.7 years in Group A and 30.5 +/- 9.2 years in Group B. The number of patients had a previous abdominal open surgery was 30 (17.8%) in Group A and 15 (21.7%) in Group B. The mean diameter of the ovarian dermoid cysts was 6.1 +/- 2.1 cm in Group A and 5.7 +/- 2.0 cm in Group B. The differences between preoperative and postoperative hemoglobin was 1.8 +/- 1.4 g/dL in Group A and 1.5 +/- 0.8 g/dL in Group B (p<0.05). Operating time was 34 +/- 16 minutes in Group A and 82 +/- 36 minutes in Group B (p<0.01). The number of patients had febrile morbidity (greater than 38 degrees C 24h after surgery) was 3 (1.7%) in Group A and 2 (2.8%) in Group B. The feeling of satisfaction was very high in both groups. CONCLUSION: Both vaginal and laparoscopic removal of ovarian dermoid cysts are useful and effective treatment. However, the vaginal removal have cheap hospital expenses, shorter operating time, and no surgical trauma on abdominal wall. So, it have great advantages compare with laparoscopic removal. Vaginal removal can be considered a useful alternative procedure.
Key Words: Ovarian dermoid cyst, Vaginal cystectomy, Laparoscopic cystectomy, Colpotomy
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