The value of managing residual ovarian parenchyma with improved method in laparoscopic giant ovarian cystectomy
0
Citation
0
Reference
0
Related Paper
Abstract:
Objective:To investigate the improved method of managing residual ovarian parenchyma in laparoscopic giant ovarian cystectomy,evaluate the effect of improved method on the ovarian function. Methods:From June 2004 to April 2010,we reviewed data related to 30 patients with giant ovarian cysts who underwent laparoscopic ovarian cystectomy using the method that was firstly piercing the cyst and sucking the cyst fluid,secondly stripping the cyst wall and bipolar electrocoagulation the cyst bed immediately,finally consecutively suturing the edges of residual ovarian parenchyma to be connivent and suturing the cyst bed like bookbinding.30 patients who underwent laparoscopic giant ovarian cystectomy with interrupted suturing of residual ovarian parenchyma were choosed as control group. Results:All the surgerys were accomplished successfully under laparoscopy.No complication happened in all patients.The mean operation time was(75.8±8.9) min and the mean intraoperative blood loss was(36.5±8.7) ml in experimental group,lower than control group(P0.05).There were no significant differences for preoperative or postoperative level of gonadal hormone in both groups(P0.05). Conclusion:Laparoscopic giant ovarian cystectomy is safe and feasible.The improved method can simplify the operation,decrease the operation time,reduce the intraoperative blood loss,while without influencing the ovarian function.It is worth applying and generalizing in clinic.Keywords:
Ovarian cyst
Parenchyma
Cite