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Obstetrics and Gynecology International
Volume 2013, Article ID 380854, 4 pages
http://dx.doi.org/10.1155/2013/380854
Clinical Study

Laparoscopic Management of Huge Ovarian Cysts

1King Fahad Medical City, Women's Specialized Hospital, P.O. Box 59046, Riyadh 11525, Saudi Arabia
2King Khaled University Hospital, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia

Received 3 February 2013; Accepted 17 April 2013

Academic Editor: Ali Cetin

Copyright © 2013 A. Alobaid et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. Huge ovarian cysts are conventionally managed by laparotomy. We present 5 cases with huge ovarian cysts managed by laparoscopic endoscopic surgery without any complications. Materials and Methods. We describe five patients who had their surgeries conducted in a tertiary care center in Riyadh, Saudi Arabia (King Fahad Medical City). Results. Patients age ranged between 19 and 69 years. Tumor markers were normal for all patients. The maximum diameter of all cysts ranged between 18 and 42 cm as measured by ultrasound. The cysts were unilocular; in some patients, there were fine septations. All patients had open-entry laparoscopy. After evaluation of the cyst capsule, the cysts were drained under laparoscopic guidance, 1–12 liters were drained from the cysts (mean 5.2 L), and then laparoscopic oophorectomy was done. The final histopathology reports confirmed benign serous cystadenoma in four patients and one patient had a benign mucinous cystadenoma. There was minimal blood loss during surgeries and with no complications for all patients. Conclusion. There is still no consensus for the size limitation of ovarian cysts decided to be a contraindication for laparoscopic management. With advancing techniques, proper patients selection, and availability of experts in gynecologic endoscopy, it is possible to remove giant cyst by laparoscopy.