Laparoscopic Removal of Dermoid Cysts Using Endopouch

EDITORIAL COMMENTS: We accepted this paper for publication since like other articles in this issue, it describes another laparoscopic technique available to the gynaecologist. However, reviewers of this paper wish to remind readers that cystic teratomas are often too large for this retrieval bag technique (> 7cm) and more importantly that the standard operation for cystic teratomas in premenopausal women is ovarian cystectomy with preservation of the ovary and ovarian function. In our experience enucleation of a cystic teratoma with conservation of the ovary is always possible unless the tumour has undergone torsion and is necrotic. Moreover, enucleation of an ovarian cyst can be performed by laparoscopic technique (A).
A. Wood C, Maher P, Hill D. Gynaecological endoscopy. RACOG continuing education Resource Unit 100, 1993.
Summary: Laparoscopic oophorectomy was successfully performed in 6 patients with ovarian dermoid cysts. The use of Endopouch eliminates the risk of spillage and the need to extend the wound. The duration of operation ranged from 60 to 90 minutes and all patients were discharged within 48 hours with minimal pain and no complications.