Leak-proof puncture of ovarian cysts: instant mounting of plastic bag using cyanoacrylate adhesive.
BACKGROUND
Reliable leak-proof aspiration of cyst contents is required for treatment of large ovarian cysts by minilaparotomy.


METHODS
Through a small abdominal wound a transparent plastic bag was instantly mounted onto the cyst surface using an ethyl-2-cyanoacrylate adhesive. A 1-2-cm-wide cut was made in the consolidated cyst wall through the inside of the bag and the contents directly aspirated. The fluid was trapped inside the bag without leaking into the abdominal cavity. This method can also be applied to relatively small cysts by holding the cyst just beneath the wound.


RESULTS
We used this method in 30 patients with unilateral ovarian cysts and in one patient with an ovarian cyst associated with an ipsilateral paraovarian cyst. All patients were successfully treated without spillage, although in one case a large mucinous ovarian cyst ruptured before surgery.


CONCLUSIONS
Minilaparotomy using the instant adhesive is cost-effective, safe, reliable, and easily implemented. This procedure is also applicable to relatively small cysts and is a viable alternative to laparoscopic surgery for treatment of dermoid cysts showing considerable calcification.
Shozu
M
M
Department of Obstetrics and Gynecology, School of Medicine, Kanazawa University, Japan. shozu@med.kanazawa-u.ac.jp
Segawa
T
T
Sumitani
H
H
Inoue
M
M
D003487:Cyanoacrylates; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000295:instrumentation / Q000379:methods*; D010048:Ovarian Cysts / Q000601:surgery*; D019152:Paracentesis / Q000379:methods*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D014014:Tissue Adhesives; D016896:Treatment Outcome
D003487:Cyanoacrylates; D014014:Tissue Adhesives