Minimally Invasive Technique for Removal of Giant Serous Cyst Adenoma of the Ovary


Nadine Hughes 1 , Costa Healy 1 , Anies Mahomed 1 , *

1 Department of Paediatric Surgery, Royal Alexandra Childrens Hospital, Brighton, UK

How to Cite: Hughes N, Healy C, Mahomed A. Minimally Invasive Technique for Removal of Giant Serous Cyst Adenoma of the Ovary, J Minim Invasive Surg Sci. Online ahead of Print ; 2(2):157-60.


Journal of Minimally Invasive Surgical Sciences: 2 (2); 157-60
Published Online: May 30, 2013
Article Type: Case Report
Received: May 7, 2012
Accepted: July 26, 2012


Background: Large ovarian cysts are rarely seen in the paediatric population and can now be managed by a variety of surgical approaches.

Case Presentation: We report a case where a substantial right ovarian cyst in a 13 year old was removed through a single incision in the superior umbilical fold leaving no discernable scar. The placement of a purse string facilitated safe decompression of the cyst allowing delivery into the wound where the lining was stripped before being returned to the abdomen.

Conclusions: Subsequent single incision laparoscopic surgery (SILS) port placement through the same wound allowed for a full inspection of the pelvis and abdomen. This approach represents an advance on conventional surgery and is a tenable alternative to an exclusive laparoscopic technique.

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