Surgical treatment of ovarian dermoid cysts: a comparison between laparoscopic and vaginal removal.
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.
Ferrari
Maria Maddalena
MM
Department of Obstetrics and Gynecology, DMCO San Paolo, Via A. di Rudini; 8, 20142 Milan, Italy. mariam_ferrari@yahoo.it
Mezzopane
Raffaella
R
Bulfoni
Alessandro
A
Grijuela
Barbara
B
Carminati
Roberto
R
Ferrazzi
Enrico
E
Pardi
Giorgio
G
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