Intraoperative rupture of benign mucinous cystadenoma does not increase its recurrence rate

Purpose Laparoscopy has become the standard of care in the management of ovarian benign mucinous cystadenomas. One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective w...

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Veröffentlicht in:Archives of gynecology and obstetrics 2015-05, Vol.291 (5), p.1135-1139
Hauptverfasser: Mizrachi, Yossi, Weiner, Eran, Keidar, Ran, Kerner, Ram, Golan, Abraham, Sagiv, Ron
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container_end_page 1139
container_issue 5
container_start_page 1135
container_title Archives of gynecology and obstetrics
container_volume 291
creator Mizrachi, Yossi
Weiner, Eran
Keidar, Ran
Kerner, Ram
Golan, Abraham
Sagiv, Ron
description Purpose Laparoscopy has become the standard of care in the management of ovarian benign mucinous cystadenomas. One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective was to assess the incidence and risk factors for recurrence of benign mucinous cystadenomas after surgical removal. Methods We conducted a retrospective analysis of all cases of patients who underwent removal of benign mucinous cystadenomas by either cystectomy or adnexectomy in our institution between December 2006 and June 2013. Results 722 women underwent surgical treatment for benign ovarian cysts in that time period, out of which 38 women (5.2 %) had benign mucinous cystadenomas confirmed by pathologic examination. Most of the patients underwent laparoscopy (94.7 %). Half of the patients underwent cystectomy, and the other half underwent adnexectomy. One patient underwent re-operation due to cyst recurrence. This patient initially underwent laparoscopic cystectomy, during which intraoperative cyst rupture did not occur. Conclusion Recurrence of benign mucinous cystadenomas was uncommon and was not associated with intraoperative cyst rupture.
doi_str_mv 10.1007/s00404-014-3543-7
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One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective was to assess the incidence and risk factors for recurrence of benign mucinous cystadenomas after surgical removal. Methods We conducted a retrospective analysis of all cases of patients who underwent removal of benign mucinous cystadenomas by either cystectomy or adnexectomy in our institution between December 2006 and June 2013. Results 722 women underwent surgical treatment for benign ovarian cysts in that time period, out of which 38 women (5.2 %) had benign mucinous cystadenomas confirmed by pathologic examination. Most of the patients underwent laparoscopy (94.7 %). Half of the patients underwent cystectomy, and the other half underwent adnexectomy. One patient underwent re-operation due to cyst recurrence. This patient initially underwent laparoscopic cystectomy, during which intraoperative cyst rupture did not occur. Conclusion Recurrence of benign mucinous cystadenomas was uncommon and was not associated with intraoperative cyst rupture.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-014-3543-7</identifier><identifier>PMID: 25388920</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Cystadenoma, Mucinous - surgery ; Cystectomy ; Cysts ; Endocrinology ; Female ; General Gynecology ; Gynecology ; Human Genetics ; Humans ; Incidence ; Intraoperative Complications ; Laparoscopy ; Laparoscopy - adverse effects ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neoplasm Recurrence, Local - epidemiology ; Obstetrics/Perinatology/Midwifery ; Ovarian Cysts - surgery ; Ovarian Neoplasms - surgery ; Patients ; Postoperative Complications - epidemiology ; Recurrence ; Retrospective Studies ; Risk Factors</subject><ispartof>Archives of gynecology and obstetrics, 2015-05, Vol.291 (5), p.1135-1139</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2014). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-e9909cb308cdb475b6a101aafd0ab0347f20a295189247468254eeb3aed689d33</citedby><cites>FETCH-LOGICAL-c442t-e9909cb308cdb475b6a101aafd0ab0347f20a295189247468254eeb3aed689d33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-014-3543-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-014-3543-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27929,27930,41493,42562,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25388920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mizrachi, Yossi</creatorcontrib><creatorcontrib>Weiner, Eran</creatorcontrib><creatorcontrib>Keidar, Ran</creatorcontrib><creatorcontrib>Kerner, Ram</creatorcontrib><creatorcontrib>Golan, Abraham</creatorcontrib><creatorcontrib>Sagiv, Ron</creatorcontrib><title>Intraoperative rupture of benign mucinous cystadenoma does not increase its recurrence rate</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Purpose Laparoscopy has become the standard of care in the management of ovarian benign mucinous cystadenomas. One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective was to assess the incidence and risk factors for recurrence of benign mucinous cystadenomas after surgical removal. Methods We conducted a retrospective analysis of all cases of patients who underwent removal of benign mucinous cystadenomas by either cystectomy or adnexectomy in our institution between December 2006 and June 2013. Results 722 women underwent surgical treatment for benign ovarian cysts in that time period, out of which 38 women (5.2 %) had benign mucinous cystadenomas confirmed by pathologic examination. Most of the patients underwent laparoscopy (94.7 %). Half of the patients underwent cystectomy, and the other half underwent adnexectomy. One patient underwent re-operation due to cyst recurrence. 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One concern of the operative approach is the risk of recurrence. A previous study has found intraoperative cyst rupture and cystectomy to be the risk factors for recurrence. Our objective was to assess the incidence and risk factors for recurrence of benign mucinous cystadenomas after surgical removal. Methods We conducted a retrospective analysis of all cases of patients who underwent removal of benign mucinous cystadenomas by either cystectomy or adnexectomy in our institution between December 2006 and June 2013. Results 722 women underwent surgical treatment for benign ovarian cysts in that time period, out of which 38 women (5.2 %) had benign mucinous cystadenomas confirmed by pathologic examination. Most of the patients underwent laparoscopy (94.7 %). Half of the patients underwent cystectomy, and the other half underwent adnexectomy. One patient underwent re-operation due to cyst recurrence. This patient initially underwent laparoscopic cystectomy, during which intraoperative cyst rupture did not occur. Conclusion Recurrence of benign mucinous cystadenomas was uncommon and was not associated with intraoperative cyst rupture.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25388920</pmid><doi>10.1007/s00404-014-3543-7</doi><tpages>5</tpages></addata></record>
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source MEDLINE; Springer Online Journals Complete
subjects Adult
Aged
Cystadenoma, Mucinous - surgery
Cystectomy
Cysts
Endocrinology
Female
General Gynecology
Gynecology
Human Genetics
Humans
Incidence
Intraoperative Complications
Laparoscopy
Laparoscopy - adverse effects
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Recurrence, Local - epidemiology
Obstetrics/Perinatology/Midwifery
Ovarian Cysts - surgery
Ovarian Neoplasms - surgery
Patients
Postoperative Complications - epidemiology
Recurrence
Retrospective Studies
Risk Factors
title Intraoperative rupture of benign mucinous cystadenoma does not increase its recurrence rate
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