title: Laparoscopic excision of benign dermoid cysts with controlled intraoperative spillage.
abstract: Due to the risk of aseptic peritonitis associated with intraoperative rupture of dermoid cysts, many surgeons are reluctant to remove the lesions laparoscopically. In our series, 12 dermoid cysts were removed laparoscopically. Intraoperative spillage occurred in all cases and was managed with copious lavage. None of the patients experienced postoperative morbidity associated with peritonitis, indicating that intraoperative spillage of dermoid cysts is not associated with morbidity as long as vigorous lavage is performed.
authors.affiliation: Robert C. Byrd Health Sciences Center of West Virginia University, Department of Obstetrics and Gynecology, 4601 Health Sciences North, P.O. Box 9186 Morgantown, WV 26506-9186, USA.
authors.forename: S H
authors.initials: SH
authors.lastname: Hessami
authors.forename: B
authors.initials: B
authors.lastname: Kohanim
authors.forename: R V
authors.initials: RV
authors.lastname: Grazi
mesh_terms: D000328:Adult; D000556:Ambulatory Surgical Procedures; D003884:Dermoid Cyst / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000517:prevention & control*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D010535:Laparoscopy / Q000009:adverse effects; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010529:Peritoneal Cavity; D010538:Peritonitis / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012421:Rupture; D013724:Teratoma / Q000473:pathology / Q000601:surgery; D007507:Therapeutic Irrigation; D013997:Time Factors