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עמוד בית
Sun, 21.07.24

ORIGINAL ARTICLES

IMAJ | volume 24

Journal 8, August 2022
pages: 520-523

Recurrence of Ovarian Dermoid Cysts: A Single Center Experience

1Department of Obstetrics and Gynecology, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel 2Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Summary

Background:

Laparoscopic removal of ovarian dermoid cysts has been associated with increased risk for recurrence.

Objectives:

To investigate the risk factors associated with recurrence of dermoid cysts.

Methods:

We conducted a retrospective review of all women who underwent cystectomy for ovarian dermoid cysts by laparoscopy or laparotomy. At discharge, patients were instructed to undergo a yearly ultrasound exam. A follow-up telephone call was conducted to assess whether an additional surgery for dermoid cysts was required and whether ultrasound recurrence of dermoid cysts was suspected.

Results:

The study cohort included 102 participants (92 [90.2%] operated by laparoscopy and 10 [9.8%] by laparotomy). The mean follow-up from the index surgery to the interview was 72.1 ± 38.2 months. The rates of recurrent surgery were similar among women who underwent laparoscopic cystectomy compared with laparotomy (5/92 [5.4%] vs. 1/10 [10.0%], respectively; P = 0.5), while the rates of reported ultrasound recurrence were significantly lower in the laparoscopy group compared with the laparotomy group (10/102 [10.9%] vs. 4/10 [40.0%], respectively; P = 0.03). Additional factors including age, cyst diameter, diagnosis of torsion, intraoperative cyst spillage, estimated blood loss, intraperitoneal adhesions, and postoperative fever were not associated with recurrence.

Conclusions:

Ultrasound recurrence of dermoid cysts is not uncommon and could be associated with the surgical approach.

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