Laparoscopic excision of ovarian cysts: is the stripping technique a tissue-sparing procedure?

Ludovico Muzii, Bianchi A, Antonella Bianchi, Clara Crocè, Crocè C, C. Della Croce, Manci N, Natalina Manci, Panici PB, Pierluigi Benedetti Panici
Fertility and sterility · 2002 · vol. 77(3) , pp. 609–614 · doi:10.1016/s0015-0282(01)03203-4 · PMID:11872220 · W2095818871
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This paper investigates whether the stripping technique used in laparoscopic ovarian cyst excision is a tissue-sparing procedure.

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Abstract

ObjectiveTo determine whether the stripping technique by laparoscopy is a tissue-sparing procedure.DesignProspective study.SettingUniversity hospital.Patient(s)Forty-two women, 21 to 35 years of age, who had a unilateral ovarian cyst (26 endometriomas, 7 serous, 6 dermoid, and 3 mucinous cysts).Intervention(s)Laparoscopic excision of ovarian cysts by using the stripping technique.Main outcome measure(s)Histologic analysis of the excised specimens was done to evaluate the presence and nature of ovarian tissue adjacent to the cyst wall.Result(s)Recognizable ovarian tissue adjacent to the cyst wall was present in 15 of 42 excised specimens (36%). A significant difference was present for endometriomas versus non-endometriosis cysts (ovarian tissue was present in 14 of 26 specimens [54%] vs. 1 of 16 specimens [6%]; P<.005). No specimen showed the normal follicular pattern observed in healthy ovaries.Conclusion(s)The stripping technique appears to be a tissue-sparing procedure. In 36% of the cysts, ovarian tissue is excised together with the cyst wall, but this tissue does not show the morphologic characteristics observed in normal ovarian tissue.

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MeSH descriptors

Laparoscopy Ovarian Cysts Adult Female Histocytochemistry Humans Laparoscopy Laparoscopy Ovarian Cysts Ovarian Cysts Ovarian Follicle Ovarian Follicle Prospective Studies

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