Efficacy of laparoscopic stripping for ovarian cysts: Histological and clinical findings

Giovanni Retto, Giuseppe Santoro, Emanuele Sturlese, Rosanna De Dominici, Daniela Villari, Annalisa Retto, Vittorio Palmara
In: Journal of Obstetrics and Gynaecology Research · 2011 · vol. 37(6) , pp. 547–552 · doi:10.1111/j.1447-0756.2010.01389.x · PMID:21349125 · W2151007339
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Laparoscopic stripping of benign ovarian cysts in 76 patients demonstrated that while healthy ovarian tissue was preserved, it often differed morphologically from normal tissue.

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Abstract

AIM: The aim of our study was to evaluate the efficacy of the laparoscopic stripping technique on benign ovarian masses with respect to healthy ovarian tissue. MATERIAL AND METHODS: Seventy-six patients between 14 and 40 years of age were enrolled after receiving a diagnosis of mono-lateral ovarian cyst and underwent laparoscopic surgery for cyst excision with the stripping technique. Histological observations of these specimens were then performed and graded on a semiquantitative scale. RESULTS: The 76 samples included 36 endometriotic cysts, 18 dermoid cysts, 12 serous cysts, and 10 mucinous cysts. Only 26 of the endometriomas showed histological evidence of healthy ovarian tissue that, however, differed morphologically from normal ovarian tissue. CONCLUSION: The laparoscopic stripping technique used for the excision of different ovarian cysts is a practice that safeguards the organ.

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