Laparoscopic stripping ovarian cystectomy in children without use of electrocautery in residual ovarian bed: experience in Chittagong, Bangladesh
Objective: Laparoscopic excision has now become the standard treatment option for benign ovarian cysts. Stripping is an effective and popular technique practiced by the surgeons for ovarian cyst excision. Use of electro-cautery in the residual ovarian bed is blamed for the reduction of ovarian reserve. Our experience of laparoscopic stripping technique without use of electro-cautery in the remaining ovarian tissue is described.
Materials and Methods: From 1 January 2006 to 31 December 2010, 26 cases were considered for laparoscopic stripping ovarian cystectomy. Using mono-polar hook cautery a flap was marked and raised on cyst wall and serous fluid sucked out. A plane was then created between inner and outer linings of the cyst wall, and inner lining peeled off. Warm normal saline wash was then given and the stripped lining was brought out through supra-umbilical port. Patients were followed up at 15 days, 1 month, 3 months, 1 year and then yearly with ultrasonogram at 3 months and 1 year. Patients age, operative time and outcome, blood loss and complications were studied retrospectively.
Results: Age ranged from 3.5 to 16 years. Presenting complaints included: abdominal pain (11), abdominal swelling (8) and palpable abdominal lump (7). Average operative time was 40.30 minutes and operative blood loss ranged from 10 to 36 ml. There was no intra or post-operative complication. There was no recurrence of cyst confirmed by ultrasonography at 3 months and 1 year.
Conclusions: Avoiding use of electro-cautery during ovarian cystectomy by stripping technique can prevent damage and reduction in ovarian reserve.
Bangladesh Journal of Endosurgery Vol.1(1) January 2013: 26-28
Authors of articles published in BJE retain the copyright of their articles and are free to reproduce and disseminate their work. A Copyright and License Agreement signed and dated by the corresponding author on behalf of all authors must be submitted with each manuscript submission.
Copyright Agreement Form
Bangladesh Journal of Endosurgery (BJE) copyright and license agreement:
Title of the Article:
In submitting a research article ('article') to Bangladesh Journal of Endosurgery (BJE) I certify that:
1. I am authorized by my co-authors to enter into these arrangements.
2. I warrant, on behalf of myself and my co-authors, that:
- the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
- I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to BJE are not in breach of any other obligation. If the law requires that the article be published in the public domain, I/we will notify BJE at the time of submission upon which clauses 3 through 6 inclusive do not apply;
- the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
- I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
And I agree to the following license agreement:
BJE Open Access license agreement
Brief summary of the agreement
Anyone is free:
- to copy, distribute, and display the work;
- to make derivative works;
- to make commercial use of the work;
Under the following conditions: Attribution
- the original author must be given credit;
- for any reuse or distribution, it must be made clear to others what the license terms of this work are;
- any of these conditions can be waived if the authors gives permission.
Statutory fair use and other rights are in no way affected by the above.
Full BJE Open Access license agreement
(Identical to the 'Creative Commons Attribution License')
Authors Full Name: