Ovarian cyst elevation using a metreurynter for laparoscopic cystectomy of a benign ovarian cyst during pregnancy

BMC Pregnancy and Childbirth

Yoshie Yo¹  Noriomi Matsumura¹  Tamaki Yahata¹  Masao Shimaoka¹  Kiko Yamamoto¹  Kosuke Murakami¹  Risa Fujishima¹  Yasushi Kotani¹ 

[1] Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine, 377-2 Ohno-higashi, 589-8511, Osaka-sayama, Osaka, Japan;

关键词: Laparoscopic surgery;    Metreurynter;    Pregnancy;    Ovarian cyst elevation;    Ovarian tumor;   

DOI  :  10.1186/s12884-021-03774-w

来源: Springer

【 摘 要 】

BackgroundA uterine manipulator cannot be used to elevate the ovary in benign ovarian surgery during pregnancy. This report describes our method of elevation of the ovary using a metreurynter with the success rate of the procedure and a comparison of surgical results and pregnancy outcomes between the successful and unsuccessful cases.MethodsBetween August 2003 and February 2020, 11 pregnant patients with a tumor found sunk in the Cul-de-sac underwent laparoscopic cystectomy for a benign ovarian cyst with a metreurynter. The surgical results, success and failure of the elevation by a metreurynter, pregnancy outcomes, and fetal status at delivery were evaluated.ResultsElevation of ovarian tumors with a metreurynter was successful in nine cases. However, it was unsuccessful in the remaining two cases wherein the ovary was lifted with forceps while the uterus was in a compressed state. The operative time was also longer in these cases. The pregnancy prognosis, however, was good for both, successful and unsuccessful cases.ConclusionsThe metreurynter is an inexpensive and practical obstetric device, and its optimal use allows the performance of a procedure with minimal burden on a pregnant uterus. Therefore, we recommend the appropriate use of this method to enable effective laparoscopic cystectomy of ovarian tumors during pregnancy.

【 授权许可】

CC BY