Giant ovarian cysts: is a pre- and intraoperative drainage an advisable procedure?
There has been a considerable debate over the merits of a pre- or intraoperative drainage of giant ovarian cysts, which represented a very frequent approach before definitive surgery in the past. Including our presented case of a 57-year-old woman with a 49 kg mucinous cystadenoma, 19 patients with giant ovarian cysts weighing more than 40 kg were reported in the literature since 1970. An incidence of 37% of malignant and low malignant potential tumors was found. Based on a critical evaluation of the medical courses and the discussed miscellaneous advantages and complications, we conclude that a pre- and intraoperative drainage should be avoided.
Einenkel
J
J
Department of Obstetrics, University of Leipzig, Leipzig, Germany. jens@1enkel.de
Alexander
H
H
Schotte
D
D
Stumpp
P
P
Horn
L-C
LC
D000075202:Contraindications; D004322:Drainage; D005260:Female; D006801:Humans; D008875:Middle Aged; D010048:Ovarian Cysts / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed