Laparoscopic treatment of benign adnexal cysts

SummaryAlthough the use of laparoscopy in the surgical management of adnexal cysts has increased in recent years, there is still considerable concern that it could adversely affect patients' health. In this prospective study we discuss the risks connected with the laparoscopic approach based on a study of 164 patients who underwent operative laparoscopy for the treatment of adnexal cysts. Mean age was 34.6 years (range 14–70). 247 cysts were laparoscopically treated by various procedures: enucleation, stripping, electrocoagulation and adnexectomy. Histologic examination confirmed the benign nature of the cyst in all but three cases of borderline tumour. No conversion to laparotomy was necessary.We conclude that the laparoscopic approach to the surgical treatment of adnexal cysts is a safe and effective treatment. Shorter hospitalisation time, quicker recovery and cosmetic convenience are the main advantages of laparoscopic treatment. The use of strict preoperative criteria can minimise the risk of missing...