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SURGEON'S CORNER
Giant ovarian cysts: Is a pre- and intraoperative drainage an advisable procedure?
  1. J. Einenkel*,
  2. H. Alexander*,
  3. D. Schotte†,
  4. P. Stumpp† and
  5. L.-C. Horn§
  1. * Departments of Obstetrics and Gynecology, University of Leipzig, Leipzig, Germany
  2. † Anesthesiology and Intensive Care Therapy, University of Leipzig, Leipzig, Germany
  3. ‡ Diagnostic Radiology, University of Leipzig, Leipzig, Germany
  4. § Institute of Pathology, Division of Perinatal and Gynecologic Pathology, University of Leipzig, Leipzig, Germany
  1. Address correspondence and reprint requests to: Jens Einenkel, MD, Department of Obstetrics and Gynecology, Universitätsfrauenklinik Leipzig, Philipp-Rosenthal-Straße 55, Leipzig 04103, Germany. Email: jens{at}1enkel.de

Abstract

There has been a considerable debate over the merits of a pre- or intraoperative drainage of giant ovarian cysts, which represented a very frequent approach before definitive surgery in the past. Including our presented case of a 57-year-old woman with a 49 kg mucinous cystadenoma, 19 patients with giant ovarian cysts weighing more than 40 kg were reported in the literature since 1970. An incidence of 37% of malignant and low malignant potential tumors was found. Based on a critical evaluation of the medical courses and the discussed miscellaneous advantages and complications, we conclude that a pre- and intraoperative drainage should be avoided.

  • drainage
  • giant ovarian cyst
  • ovarian tumor

https://doi.org/10.1111/j.1525-1438.2006.00745.x

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