Journal of Yeungnam Medical Science

Case Report

Obstetrics, Gynecology, and Reproductive Medicine
Laparoscopic Extirpation of the Term Sized Huge Ovarian Cyst.: Min Whan Koh, Hyun Cheol Choo, Oh Jin Kwon, Jeong Sook Kim; Yeungnam Univ J Med. 2004;21(1):108-113. Published online June 30, 2004; DOI: https://doi.org/10.12701/yujm.2004.21.1.108

Abstract PDF: A 23 years old single nulligravida woman underwent laparoscopic removal of a huge cystic adnexal mass that occupied her entire abdomen, giving the appearance of a full term pregnancy. After anesthesia, a vertical infra-umbilical incision, 1 cm long, was made and a telescope was introduced through the port to determine the status of the intra-abdomen and the surface contour of the mass. A needle tipped with a laparoscopic suction apparatus was inserted into the cyst through the infra-umbilical port, directly under the mass. Subsequently, 3, 200 ml of cystic fluid was aspirated without spillage. A huge cyst, reaching to the level of the xyphoid process was effectively excised through the operative laparoscopy after prelaparoscopic drainage. Operation time was 140 minutes and hospital stay was 2 days. There were no complications during hospital stay and after discharge. It seems the size of the cyst is not a criteria for the contraindication of laparoscopic surgery.

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