Surgical management of benign ovarian cysts at a tertiary care centre

Abstract

Aim: To​ assess the feasibility and outcome of laparoscopic surgery for the management of benign ovarian cysts. 

Methods:​ This clinical study was carried out in the Department of Obstetrics and​   Gynecology at Shri Krishna Medical College and Hospital Muzaffarpur, Bihar, India from ​ December 2018 to nov 2019, after taking the approval of the protocol review committee and institutional ethics committee. After taking informed consent detailed history was taken from the patient or the relatives if the patient was not in good condition. Total 220 patients who were clinically diagnosed and operated on benign ovarian cysts were included in the study. Results:​ ​ Out of 220 patients, most of the patients 65 (29.55%) had come to the hospital with chronic pelvic pain. 58(26.36%) of the patients were asymptomatic and 31(14.10%) had complaints of pelvic mass, 23 (10.45) with Acute pelvic pain. The most common type of cyst observed among the patients was endometrioma which was seen 119 (54.10%) of the cases. The second most common type of cysts were the dermoid cysts seen in 59(26.82%) of the cases. Others such as hemorrhagic cysts 11 (5.0%), Para ovarian1.36 % and simple cysts were seen 4.1% of the cases 

Conclusions:​ ​ With proper patient selection, the size of an ovarian cyst is not necessarily a

contraindication for laparoscopic surgery. 

Keywords:​ Laparoscopy, Large benign ovarian cysts​