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

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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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Abbreviations

IOCS:

Intraoperative ovarian cyst spillage

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Authors and Affiliations

  1. Departments of Obstetrics and Gynecology “B”, Soroka University Medical Center, School of Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba, Israel

    Ranit Hizkiyahu, Shiran Yakovi, Sharon Davidesko & Avishag Abecassis

  2. Departments of Obstetrics and Gynecology “A”, Soroka University Medical Center, School of Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, Beersheba, Israel

    Lior Yahav & Adi Y. Weintraub

Authors
  1. Ranit Hizkiyahu
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  2. Lior Yahav
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  3. Shiran Yakovi
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  6. Adi Y. Weintraub
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Correspondence to Ranit Hizkiyahu.

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Dr. Ranit Hizkiyahu, Dr. Lior Yahav Dr. Shiran Yakovi, Dr. Sharon Davidesko, Dr. Avishag Abecassis and Dr. Adi Y. Weintraub have no conflicts of interest or financial ties to disclose.

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Hizkiyahu, R., Yahav, L., Yakovi, S. et al. Short- and long-term outcomes of intraoperative spillage during laparoscopic removal of benign ovarian cysts. Surg Endosc 34, 3883–3887 (2020). https://doi.org/10.1007/s00464-019-07154-6

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  • DOI: https://doi.org/10.1007/s00464-019-07154-6

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