In rare surgery, HC remove ovarian cyst the size of two watermelons

Clinic of Gynecology, Hospital das Clinicas (USP) has developed an innovative method to remove an ovarian cyst of 16 liters (the equivalent of two watermelons 7 pounds).

The procesdimento was performed with a one centimeter incision in the navel and two other 0.5-cm incisions in the abdomen.

It is the first intervention, laparoscopic ovarian cyst this size. The procedures currently adopted for the removal of a cyst that size is laparotomy, with vertical or horizontal incision 15 cm long.

The success of the method was demonstrated in over 10 cases of patients with ovarian cysts rather bulky (up to 6 liters) treated at the Hospital over a period of 18 months. The novelty with the preliminary results will be presented in the U.S. Congress which will take place from 11 to 13 November in Washington, the rarity of the case.

The procedure took about 60 minutes from the entry into the abdominal cavity and surgery. The patient was discharged in less than 24 hours after the operation and returned to normal activities within five days.

According to Brooks gynecologist Sergio Conti, the method involves inserting a suction system in conjunction with a microchamber and the gateway clamps inserted into the umbilicus of the patient through an incision of 1.2 cm.

The content of cyst aspiration is needed to prevent continuous leakage inside the abdomen of the patient. At the end of the aspiration, the procedure is the removal of the capsule of the cyst and ovarian cysts inevitable in cases of bulky, the umbilical incision. The tissue removal can also be done through an incision in the vagina.

Are prerequisites for this type of surgical approach, patients with suspected ovarian cyst benign, with more than six liters inside, the doctor explained.

The diagnosis of adnexal cysts in the general population is very common, with a prevalence that can reach up to 12% of women. In the U.S., ovarian cysts are the fourth leading cause of hospitalization for gynecologic disease in women below 40 years and it is estimated that, at some point in life, from 5% to 10% of the female population will be subjected to any surgical procedure .

With information from the Department of State Health SP

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