Marsupialization of the cyst as a step in laparoscopic management of ovarian cysts

Study Objective. To compare a traditional technique of ovarian cyst management with a marsupialization method (MM) developed by the authors. Design. Prospective, observational study (Canadian Task Force classification II-1). Setting. Central Asian city teaching hospital. Patients. Eighty-one women with benign ovarian cysts. Intervention. Traditional laparoscopic cyst management and MM. Cysts were removed through a cannula site after being placed into an endobag and marsupialization. With this technique, cysts were emptied partially or completely by aspiration and brought outside the abdominal cavity through a 1.5- to 2.5-cm cannula incision site. Some of the cyst contents may be removed during extraction. The technique allows the surgeon to interrupt cyst pedicles extracorporally or intracorporally. Measurements and Main Results. With traditional methods of laparoscopic cystectomy the spillage rate was 18% (6 patients), compared with 16% (8 patients) for MM. Operating time, blood loss, and mean hospital stay were not statistically different between groups (p>00.5). Conclusion. With MM technique, cystectomy is simple, reliable, and cost effective.