Abstract: Objective: To evaluate the safety and potential advantages of laparoscopic approach for management of ovarian dermoid cysts.
Design: Retrospective study.
Methods: From October 2013 to October 2018, 14 patients underwent laparoscopic removal of dermoid cysts in young and adolescent women.
Results: Total of 14 cases operated laparoscopically for the removal of dermoid cyst. Largest one was 15X10cm in which spillage was expected.3 cases were bilateral others were unilateral. Two cysts were removed through enucleation. 11 cases were managed by removal of cysts via Endobag. One case of Dermoid cyst which was 15X10cm Enbag drainage and removal of cysts was done. Spillage was there in 4 cases including the larger cyst. None of the case had chemical peritoneal peritonitis.
Conclusion: Laparoscopic approach allows proper exposure of Cul de sac and allows forceful jet lavage aspiration ensuring pelvic clean out from any microscopic material of the dermoid cyst. A situation may not be available during open laparotomy.