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A retrospective comparison of four different procedures for extracting dermoid cyst by laparoscopy / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology ; : 239-243, 2002.
Artigo em Coreano | WPRIM | ID: wpr-48881
ABSTRACT

OBJECTIVES:

To compare results of 4 different extraction methods in laparoscopic management of dermoid cyst. STUDY

DESIGN:

This article is a retrospective, multicenter study for 247 patients with benign dermoid cyst in period of 1995-1998. Dermoid cyst was extracted by Endopouch (99 cases), puncture-irrigation-extraction (69 cases), colpotomy (35 cases), and dermoid cyst as a "pouch bag" (44 cases).

RESULTS:

We analyzed irrigation amount, operative time, postoperative hospital stay and complications by four different extraction methods. Endopouch extraction method needed less amount of irrigation fluid for cleaning the abdominal cavity and had a shorter postoperative hospital stay (ANOVA, p=0.0001). There were no significant differences in operative times among groups. There were four cases of morbidity in puncture-irrigation-extraction method (6%), three had fever (> 38degrees C) and one intraabdominal abscess. One incisional hernia was noted in "pouch bag" method (2%).

CONCLUSIONS:

We recommend minimal spillage method for extraction of dermoid and careful irrigation of abdominal cavity to prevent potential risk of chemical peritonitis such as Endopouch, "pouch bag", and colpotomy with the exception of puncture-irrigation-extraction method.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peritonite / Estudos Retrospectivos / Laparoscopia / Colpotomia / Cavidade Abdominal / Cisto Dermoide / Abscesso / Febre / Duração da Cirurgia / Hérnia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2002 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Peritonite / Estudos Retrospectivos / Laparoscopia / Colpotomia / Cavidade Abdominal / Cisto Dermoide / Abscesso / Febre / Duração da Cirurgia / Hérnia Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 2002 Tipo de documento: Artigo