Laparoscopic management of ovarian dermoid cysts. A series of 83 cases.

We did a retrospective survey of 83 patients who had laparoscopic removal of a benign dermoid cyst in our hospital since 1994. Preoperative transvaginal sonography led to the correct diagnosis in 57 cases (69%). In 59 cases cystectomy with ovarian conservation was performed; spillage of cyst contents occurred in 39 cases (66%). Salpingo-oophorectomy was performed in 24 patients with spillage in 8 cases (24%). The mean tumor size (n=83) was 4.5+/-1.6 cm and 4.9+/-2.8 cm for unspilled and spilled cysts, respectively. The tumor was placed in an endobag in 62 cases. No intra- or postoperative complications occurred. No case of chemical peritonitis was noted.