Controlled Decompression of Large Ovarian Cystic Tumors via Mini-Laparotomy Using Dermabond Advanced™

Publication date: Available online 17 February 2020Source: Gynecologic Oncology ReportsAuthor(s): Katherine Hicks-Courant, Christopher S. Awtrey, Young Bae KimAbstractLarge cystic ovarian tumors usually require surgical removal because of symptoms and the possibility of malignancy. The ideal surgical approach would minimize the risk of spillage of tumor contents while minimizing surgical morbidity. The present study aimed to demonstrate a novel technique to drain large cystic ovarian tumors without spillage. A mini-laparotomy is performed and the tumor surface is exposed. Dermabond Advanced™ is applied to the tumor and a surgical glove is applied to the glue area. A small incision is made in the center of the portion of the glove that is adherent to the tumor. The cyst fluid is allowed to drain into the glove where it is suctioned away, collapsing the tumor. Once the tumor is sufficiently decompressed, it is exteriorized and resected with the glove still attached. The technique was initially in a pig model and subsequently successfully performed by mini-laparotomy on two patients with>20 cm ovarian masses utilizing this technique. This novel technique uses inexpensive and readily available materials for draining large cystic ovarian tumors without spillage so that they can be removed via mini-laparotomy.Graphical abstract

Source: Gynecologic Oncology Reports - February 18, 2020 Category: OBGYN Source Type: research