Surgery for giant ovarian cysts in Guyana using singleport laparoscopy: a retrospective case series analysis.

France, Natasha; Sookraj, Radha; Gittens, Sabrina; Yuan Jiang

Giant ovarian cysts (GOCs) have become less common in developed countries due to routine health screenings, but they remain prevalent in economically underdeveloped regions. Treatment options for GOCs depend on factors such as age, cyst characteristics, and pregnancy status. Minimally invasive single-port laparoscopic surgery has largely replaced traditional open surgery due to its aesthetic advantages and effectiveness. In this case series, six patients with giant ovarian cysts, including two pregnant women, underwent single-port laparoscopic surgery. The procedure was aimed to reduce scarring, ensure safety, and preserve fertility. Strict criteria were used to rule out malignancy and assess suitability for the minimally invasive approach. Five patients had successful surgeries with positive cosmetic outcomes, while one required conversion to a mini-laparotomy due to technical difficulties. Postoperative recovery was smooth, with patients expressing satisfaction with the aesthetic results. This study demonstrates that single-port laparoscopic surgery is a safe and effective method for treating large ovarian cysts, combining the advantages of traditional laparoscopy with enhanced cosmetic results. The approach is particularly beneficial for younger and pregnant patients, with careful timing of surgery recommended to minimize pregnancy-related risks.

GUYANA; PATIENT safety; AESTHETICS; LAPAROSCOPIC surgery; SCARS; MINIMALLY invasive procedures; RETROSPECTIVE studies; AGE distribution; PREGNANT women; OVARIAN cysts; MEDICAL records; ACQUISITION of data; CONVALESCENCE; FERTILITY preservation; CASE studies; PATIENT satisfaction; POSTOPERATIVE period; PREGNANCY complications

African Journal of Reproductive Health, 2024, Vol 28, Issue 12, p108

1118-4841

Academic Journal

10.29063/ajrh2024/v28i12.12