Laparoscopic management of benign ovarian cysts at tertiary care centre

Abstract

Background: This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of ovarian cysts at tertiary care centre. Methods: Twelve patients from September 2018 to July 2019 presenting to our centre Cama And Albeless Hospital, Grant Medical College and JJ group of Hospital presumed to be benign ovarian cyst either on ultrasonography or clinical examination were managed laparoscopically. One case out of the above 12 cases came out as an incidental finding during diagnostic laproscopy was also managed endoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging and basic serum marker were only included in this study. The cysts were aspirated initially followed by cystectomy, oophorectomy or total hysterectomy depending on age, parity, coexisting pathology and desire for future fertility. Results: Pain in abdomen was the most common presenting symptom of patient in our study. We were able to manage 84 % of patient with laproscopy with laparotomy required for just 2 out of 12 cases. Serous cyst adenoma (25%) endometrioma (25%) were the most common findings on histopathology. Conclusions: With proper patient selection and exclusion of malignancy, laparoscopic management of ovarian cyst by is feasible.