Marsupialization of the cyst as a step in laparoscopic management of ovarian cysts.
OBJECTIVE
To compare a traditional technique of ovarian cyst management with a marsupialization method (MM) developed by the authors.


METHODS
Prospective, observational study (Canadian Task Force classification II-1).


METHODS
Central Asian city teaching hospital.


METHODS
Eighty-one women with benign ovarian cysts.


METHODS
Traditional laparoscopic cyst management and MM. Cysts were removed through a cannula site after being placed into an endobag and marsupialization. With this technique, cysts were emptied partially or completely by aspiration and brought outside the abdominal cavity through a 1.5- to 2.5-cm cannula incision site. Some of the cyst contents may be removed during extraction. The technique allows the surgeon to interrupt cyst pedicles extracorporally or intracorporally.


RESULTS
With traditional methods of laparoscopic cystectomy the spillage rate was 18% (6 patients), compared with 16% (8 patients) for MM. Operating time, blood loss, and mean hospital stay were not statistically different between groups (p >00.5).


CONCLUSIONS
With MM technique, cystectomy is simple, reliable, and cost effective.
Kalegyn
A V
AV
Regional 10th Obstetrical-Gynecological Hospital, Tashkent City Health Care System, Buyuk Yupak Yulli III-9 Tashkent 700077, Uzbekistan.
Sadykova
M H
MH
D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D012680:Sensitivity and Specificity; D016896:Treatment Outcome