Laparoscopic excision of ovarian cysts: is the stripping technique a tissue-sparing procedure?
OBJECTIVE
To determine whether the stripping technique by laparoscopy is a tissue-sparing procedure.


METHODS
Prospective study.


METHODS
University hospital.


METHODS
Forty-two women, 21 to 35 years of age, who had a unilateral ovarian cyst (26 endometriomas, 7 serous, 6 dermoid, and 3 mucinous cysts).


METHODS
Laparoscopic excision of ovarian cysts by using the stripping technique.


METHODS
Histologic analysis of the excised specimens was done to evaluate the presence and nature of ovarian tissue adjacent to the cyst wall.


RESULTS
Recognizable ovarian tissue adjacent to the cyst wall was present in 15 of 42 excised specimens (36%). A significant difference was present for endometriomas versus non-endometriosis cysts (ovarian tissue was present in 14 of 26 specimens [54%] vs. 1 of 16 specimens [6%]; P<.005). No specimen showed the normal follicular pattern observed in healthy ovaries.


CONCLUSIONS
The stripping technique appears to be a tissue-sparing procedure. In 36% of the cysts, ovarian tissue is excised together with the cyst wall, but this tissue does not show the morphologic characteristics observed in normal ovarian tissue.
Muzii
Ludovico
L
Department of Gynecology, Libera Università Campus Bio-Medico, Rome, Italy. l.muzii@unicampus.it
Bianchi
Antonella
A
Crocè
Clara
C
Manci
Natalina
N
Panici
Pierluigi Benedetti
PB
D000328:Adult; D005260:Female; D006651:Histocytochemistry; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D010048:Ovarian Cysts / Q000473:pathology / Q000601:surgery*; D006080:Ovarian Follicle / Q000473:pathology; D011446:Prospective Studies