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Obstetrics and Gynecology International
Volume 2016, Article ID 2390178, 7 pages
http://dx.doi.org/10.1155/2016/2390178
Review Article

Ovarian Mature Cystic Teratoma: Challenges of Surgical Management

1Sandwell and West Birmingham NHS Trust, Birmingham City Hospital, Birmingham B18 7QH, UK
2The College of Medical & Dental Sciences, University of Birmingham, Birmingham, UK

Received 8 November 2015; Accepted 29 February 2016

Academic Editor: Robert Coleman

Copyright © 2016 Abha Sinha and Ayman A. A. Ewies. 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

Although ovarian mature cystic teratomas are the commonest adnexal masses occurring in premenopausal women, there are many challenges faced by gynecologists on deciding upon the best surgical management. There is uncertainty, lack of consensus, and variation in surgical practices. This paper critically analyzes various surgical approaches and techniques used to treat these cysts in an attempt to outline a unified guidance. MEDLINE and EMBASE databases were searched in January 2015 with no date limit using the key words “ovarian teratoma” and “ovarian dermoid.” The search was limited to articles in English language, humans, and female. The two authors conducted the search independently. The laparoscopic approach is generally considered to be the gold standard for the management. Oophorectomy should be the standard operation except in younger women with a single small cyst. The risk of chemical peritonitis after contents spillage is extremely rare and can certainly be overcome with thorough peritoneal lavage using warmed fluid. There is a place for surveillance in some selected cases.