title: Laparoscopic excision of ovarian cysts: is the stripping technique a tissue-sparing procedure?
abstract: 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.
authors.affiliation: Department of Gynecology, Libera Università Campus Bio-Medico, Rome, Italy. l.muzii@unicampus.it
authors.forename: Ludovico
authors.initials: L
authors.lastname: Muzii
authors.forename: Antonella
authors.initials: A
authors.lastname: Bianchi
authors.forename: Clara
authors.initials: C
authors.lastname: Crocè
authors.forename: Natalina
authors.initials: N
authors.lastname: Manci
authors.forename: Pierluigi Benedetti
authors.initials: PB
authors.lastname: Panici
mesh_terms: 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