Surgery for Giant Ovarian Cysts in Guyana Using Single-incision Laparoscopy: Aretrospective Case Series Analysis
Introduction
Giant ovarian cysts (GOCs) have become increasingly rare in developed
countries due to the prevalence of routine health screenings but remain common in
economically underdeveloped regions. Treatment varies based on patient age, cyst
characteristics, and pregnancy status, with traditional open surgery being replaced by
minimally invasive single-incision laparoscopic surgery (SILS) for its aesthetic and
effective outcomes.
Objectives
to review the outcome of patients with giant ovarian cysts at the Georgetown
public Hospital Corporation
Method: This case series utilized SILS for six patients with giant ovarian cysts, two of
whom were pregnant. The approach sought to minimize surgical scarring, ensure patient
safety, and preserve fertility options. Patient selection was based on strict criteria to rule
out malignancy and determine suitability for minimally invasive procedures.
Results
Five patients had successful procedures with positive cosmetic results, while one
underwent conversion to mini-laparotomy due to exposure difficulties. Postoperative
recovery went well with cosmetic patient satisfaction. The SILS technique was effective in
treating large cysts without sacrificing aesthetics.
Conclusion
Single-incision laparoscopic surgery is a safe and feasible option for treating
large ovarian cysts, inheriting all the benefits of traditional laparoscopic techniques while
significantly improving cosmetic results, particularly beneficial for young and pregnant
patients.
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