Our Summary

This study looked at the effects of a different method when removing ovarian dermoid cysts (a type of tumor that can contain a variety of tissues) surgically. The researchers used a bag (called an endobag) during surgery in some patients to help contain the cyst, while in others they followed the standard procedure without the bag.

The results showed that when the endobag was used, there was much less spillage of the cyst contents during surgery (which is a good thing), and the surgery time was much shorter if the cyst had ruptured. However, if the cyst hadn’t ruptured, the time taken for surgery was about the same whether or not the bag was used.

Also, the bigger the cyst, the longer the surgery took without the bag, but using the bag didn’t make the surgery any longer.

Aside from the surgery time, there was no difference between the two methods in terms of cyst size, post-surgery pain, blood loss, length of hospital stay, or inflammation markers. There were no complications after surgery in the patients where the bag was used, but there were in two cases where the standard method was used. There were no cases of chemical peritonitis (inflammation of the lining of the abdomen) due to spillage of the cyst contents in either group.

So, the researchers suggest that using an endobag during surgery to remove large dermoid ovarian cysts is a good option, as it reduces the chance of spillage and shortens surgery time if the cyst has ruptured.

FAQs

  1. What is an endobag and how is it used in ovarian cyst removal surgeries?
  2. How does the use of an endobag during surgery affect the spillage of cyst contents and the surgery time?
  3. Did the study find any difference in post-surgery pain, blood loss, length of hospital stay, or inflammation markers between the use of the endobag and the standard method?

Doctor’s Tip

Therefore, a helpful tip a doctor might tell a patient about ovarian cyst removal is to ask their surgeon about the use of an endobag during the procedure, especially if they have a large dermoid cyst. This can help minimize the risk of spillage and potentially make the surgery quicker and safer. It’s always important to discuss all available options with your healthcare provider to ensure the best outcome for your individual case.

Suitable For

Patients who are typically recommended ovarian cyst removal include those with large dermoid ovarian cysts, especially if the cyst has ruptured. Using an endobag during surgery may be a good option for these patients to reduce spillage of cyst contents and shorten surgery time.

Timeline

Before ovarian cyst removal:

  • Patient may experience symptoms such as pelvic pain, bloating, and changes in menstruation
  • Doctor may perform an ultrasound or MRI to diagnose the cyst
  • Patient may undergo blood tests to check for tumor markers
  • Surgery may be recommended if the cyst is large, causing symptoms, or if it is suspected to be cancerous

After ovarian cyst removal:

  • Patient will undergo pre-operative preparations such as fasting and anesthesia
  • Surgery is performed, either using a standard method or with the use of an endobag to contain the cyst
  • Recovery time in the hospital varies depending on the size of the cyst and any complications during surgery
  • Patient may experience some pain and discomfort after surgery, which can be managed with medication
  • Follow-up appointments are scheduled to monitor recovery and ensure there are no complications or recurrence of the cyst.

What to Ask Your Doctor

Some questions a patient should ask their doctor about ovarian cyst removal include:

  1. What are the risks and benefits of using an endobag during surgery to remove my ovarian cyst?
  2. How will using an endobag affect the length of the surgery and recovery time?
  3. Will using an endobag reduce the risk of complications during or after the surgery?
  4. Are there any specific criteria that determine whether an endobag should be used for my surgery?
  5. Are there any alternative methods or techniques for removing ovarian cysts that I should consider?
  6. How experienced are you in using an endobag during ovarian cyst removal surgeries?
  7. Will using an endobag impact the cost of the surgery or my insurance coverage?
  8. How will you monitor my recovery and follow-up care after the surgery?
  9. Are there any specific precautions or instructions I should follow before and after the surgery if an endobag is used?

Reference

Authors: Lee J, Kim HJ, Heo Y, Lee HJ. Journal: Medicine (Baltimore). 2023 Feb 17;102(7):e33043. doi: 10.1097/MD.0000000000033043. PMID: 36800579