title: Surgical treatment of ovarian dermoid cysts: a comparison between laparoscopic and vaginal removal.
abstract: BACKGROUND
  In the last years transvaginal ultrasonographic diagnosis of ovarian dermoid cyst together with laparoscopic approach have greatly improved the treatment of this benign lesion. Vaginal approach with laparoscopic assistance has been proposed as an alternative to total laparoscopic removal.
  
  
  METHODS
  A retrospective comparison between total laparoscopic (56 patients) and direct vaginal removal (30 patients) of ovarian dermoids.
  
  
  RESULTS
  There were few, but significant, advantages of vaginal removal, especially regarding operating time, intraperitoneal spillage of dermoid tissue and post-operative outcome.
  
  
  CONCLUSIONS
  Vaginal approach to the removal of dermoid cysts can be considered a safe alternative procedure to laparoscopy.
authors.affiliation: Department of Obstetrics and Gynecology, DMCO San Paolo, Via A. di Rudini; 8, 20142 Milan, Italy. mariam_ferrari@yahoo.it
authors.forename: Maria Maddalena
authors.initials: MM
authors.lastname: Ferrari
authors.forename: Raffaella
authors.initials: R
authors.lastname: Mezzopane
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bulfoni
authors.forename: Barbara
authors.initials: B
authors.lastname: Grijuela
authors.forename: Roberto
authors.initials: R
authors.lastname: Carminati
authors.forename: Enrico
authors.initials: E
authors.lastname: Ferrazzi
authors.forename: Giorgio
authors.initials: G
authors.lastname: Pardi
mesh_terms: D000293:Adolescent; D000328:Adult; D003884:Dermoid Cyst / Q000601:surgery*; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D010048:Ovarian Cysts / Q000601:surgery*; D010298:Parity; D012189:Retrospective Studies; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina