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Surgical Endoscopy

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01-09-2020 | Laparoscopy

Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts

Authors: Ranit Hizkiyahu, Lior Yahav, Shiran Yakovi, Sharon Davidesko, Avishag Abecassis, Adi Y. Weintraub

Published in: Surgical Endoscopy | Issue 9/2020

Abstract

Background

To compare the short- and long-term outcomes in patients with and without intraoperative spillage from benign adnexal masses during laparoscopic removal.

Methods

We conducted a retrospective analysis of all cases of laparoscopic removal of ovarian cysts (cystectomy or adnexectomy) in our institution between the years 2013 and 2017, excluding malignant lesions.

Results

During the study period, 186 cases of ovarian cyst removal were identified. Intraoperative ovarian cyst spillage (IOCS) occurred in 104 cases (study group), while in the remaining 82 cases no spillage was reported (control group). Baseline clinical characteristics were comparable between groups. Large cyst diameter and intraperitoneal adhesions were significantly associated with the occurrence of IOCS (P = 0.008 and < 0.001, respectively). The use of an endoscopic retrieval bag was significantly inversely associated with IOCS. Postoperative complications (pain score, hospital stay, febrile illness and recurrence of ovarian cyst) were comparable between groups.

Conclusions

IOCS during laparoscopic cystectomy is associated with larger cyst diameter and intraperitoneal adhesions, but not with adverse short- or long-term outcomes nor with recurrence rates.

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Title: Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts
Authors: Ranit Hizkiyahu
Lior Yahav
Shiran Yakovi
Sharon Davidesko
Avishag Abecassis
Adi Y. Weintraub
Publication date: 01-09-2020
Publisher: Springer US
Keywords: Laparoscopy
Salpingo-Oophorectomy
Cystectomy
Published in: Surgical Endoscopy / Issue 9/2020
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-019-07154-6

At a glance: The STEP trials

Springer Medicine

Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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