Laparoscopic ovarian dermoid cystectomy in 10 steps

CONCLUSIONStandardization of laparoscopic cystectomy for ovarian teratoma could make this procedure easier and safer to perform. The 10 steps presented help to perform each part of surgery in logical sequence making the procedure ergonomic and easier to adopt and learn. Moreover, the standardization of the surgical techniques could reduce the learning curve.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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ConclusionThis study suggests that FSS is a safe treatment option for MOGCT, regardless of tumor stage and histological type.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
ConclusionColorectal squamous cell carcinoma is a rare disease. In cases of colorectal squamous cell carcinoma, metastatic disease at any other location has to be excluded. Human papillomavirus genotyping is essential in this context. Discussion of the treatment strategies should be interdisciplinary and include chemoradiation therapy and radical surgery.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
AbstractOur knowledge of ovarian teratomas in children is still far from complete, and much remains to be discovered. Here, we conduct a scoping review of the primary research related to ovarian teratomas in pediatric age. To our knowledge, there is no published synthesis of the literature surrounding ovarian teratomas in children using scoping review methodology. We identified 24 studies from 11 countries; 18 studies were retrospective, 3 were prospective, and 3 were experimental. There were 6 studies concerning mature teratomas, 5 concerning immature teratomas, and 13 that included both tumor types. Overall, 9 out of all...
Source: Cancer and Metastasis Reviews - Category: Cancer & Oncology Source Type: research
ConclusionAdrenal lipomatous tumors are uncommon but with the increase use of imaging modalities their detection has increased. Further studies are needed to establish guidelines in the management of these tumors, especially that they can mimic malignant conditions.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Abstract Objective To evaluate whether the use of intraoperative ultrasound leads to more conservative surgeries for benign ovarian tumors. Methods Women who underwent surgery between 2007 and 2017 for benign ovarian tumors were retrospectively analyzed. The women were classified into two groups: those who underwent intraoperative ultrasound (group A) and those who did not (group B). In group A, minimally-invasive surgery was performed for most patients (a specific laparoscopic ultrasound probe was used), and four patients were submitted to laparotomy (a linear ultrasound probe was used). The primary endpoint was ovarian s...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
Journal of Gynecologic Surgery, Ahead of Print.
Source: Journal of Gynecologic Surgery - Category: OBGYN Authors: Source Type: research
Abstract Although mature cystic teratoma (MCT) is benign, malignant transformation (MT) occurs in ~ 1% to 2% of all cases, and usually consists of squamous cell carcinoma (SCC), which accounts for ~ 80% of the cases. Spindle-cell (sarcomatoid) carcinoma (SCSC) is an uncommon type of SCC, comprising up to 3% of all cases. The lack of characteristic symptoms and specific imaging findings may lead to preoperative misdiagnosis. Moreover, the clinicopathologic characteristics, the treatment, the prognostic factors and the mechanism of MT have not yet been well understood due to the rarity of such tumors, especially in women of ...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
This study included 45 patients treated between July 2015 and November 2016. Laparoscopic oophorocystectomy was performed in 11 female patients with teratomas. Eleven patients required tracheal intubation or tracheotomy and ventilation. The patients were hospitalized for an average of 25.2 days. The mental and neurological symptoms were significantly relieved 23.6 ± 4.8 days after surgery or immunotherapy. Near-normal function was restored in 11 patients, while 34 patients had varying degrees of dysfunction at discharge. After follow-up of 1 to 18 months, 24 patients were found to have permanent impairments. Appro...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
We describe a case of bilateral giant primary mature cystic teratoma in the region of both adrenal glands in a 22-year-old female patient. Patient concerns: A 22-year-old female patient was admitted to our hospital with no complain after detecting to have 2 giant well circumscribed masses in a routine investigation. Diagnoses: She was diagnosed with bilateral giant primary mature retroperitoneal teratoma of the adrenal region. Interventions: The patient underwent en bloc excision of the mass through laparoscopic simultaneous resection. Outcomes: We carefully separated and retained most of the adrenal tissue on ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
ConclusionRobot-assisted laparoscopy did not reduce intraoperative spillage of dermoid cyst contents compared to traditional laparoscopy or laparotomy. In patients with large (>6cm) dermoid cysts the use of RAL decreased blood loss, length of postoperative hospital stay, need for inpatient admission and conversion to LAP (compared to SLA), but increased the length of surgery and hospital cost compared to LAP. We conclude that larger dermoid cysts may be treated with RAL instead of LAP. Smaller cysts may have equivalent outcomes with traditional laparoscopic techniques.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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