Aspiration of functional ovarian cyst

Česká verzia

Authors: A. Sobek ¹; O. Koutná ¹; A. Sobek jr. ¹; P. Holub ¹; B. Zbořilová ¹; E. Klásková ¹; M. Procházka ^1,2
Authors place of work: Fertimed Olomouc, centrum pro léčbu neplodnosti, doc. MUDr. A. Sobek, CSc. ¹; Ústav porodní asistence FZV UP, Olomouc, přednosta prof. MUDr. M. Procházka, Ph. D. ²
Published in the journal: Ceska Gynekol 2017; 82(6): 450-454

Summary

Objective:
The study was designed to prove the safety of simple cyst aspiration instead of the current treatment by laparoscopy.

Design:
Retrospective analysis.

Setting:
Fertimed Olomouc, Infertility Center.

Methods:
We are presenting our experience with the aspiration of follicles (group A) and a functional cyst (group B, C). We are evaluating a number of complications in all groups, anaesthesia versus analgesia in group B, C and the cytological examination of fluid from the function cyst in group C.

Results:
In 2,744 aspirations we detected 0.0004% small complications (vaginal wall bleeding) and 0.0004% major complications (laparoscopy, cystoscopy). No single cytological examination was suspect in the simple ovarian function cyst.

Conclusion:
Aspiration of a simple functional cyst is the first step of the treatment. It is a simple procedure. For patients it is comfortable and safe. In a simple cyst, we do not find suspect cells.

Keywords:
cyst, simple cyst, functional cyst, cyst aspiration, cyst punction, ovarian punction, ovarian aspiration, cytology

Zdroje

1. Alcázar, JL., Castillo, G., Jurado, M., et al. Is expectant management of sonographically benign adnexal cysts an option in selected asymptomatic premenopausal women? Hum Reprod, 2005, 20, 11, p. 3231–3234.

2. Bulletti, C. Laparoscopic versus laparotomic surgery for the treatment of ovarian cysts. Hum Reprod, 1996, 11, 9, p. 2069–2070.

3. Bulletti, C., Seracchioli, R., Polli, V., et al. Financial impact in the Italian Health Service of laparoscopic versus laparotomic surgery for the treatment of ovarian cysts. Hum Reprod, 1996, 11, 2, p. 287–290.

4. Conway, C., Zalud, I., Dilena, M., et al. Simple cyst in the postmenopausal patient: detection and management. J Ultrasound Med, 1998, 17, p. 369–372.

5. Dicker, D., Dekel, A., Orvieto, R., et al. Ovarian abscess after ovum retrieval for in-vitro fertilization. Hum Reprod, 1998, 13, 7, p. 1813–1814.

6. Fagotti, A., Ludovisi, M., De Blasis, I., et al. The sonographic prediction of invasive carcinoma in unilocular-solid ovarian cysts in premenopausal patients: a pilot study. Hum Reprod, 2012, 27, 9, p. 2676–2683.

7. Fischerová, D., Pinkavová, I., Sláma, J., et al. Racionální předoperační diagnostika benigních a maligních ovariálních nádorů – zobrazovací metody, nádorové markery (přehledový článek). Čes Gynek, 2012, 77, 4, s. 272–287.

8. Fischerová, D. Doporučený diagnostický postup u ženy s ovariální cystou nebo nádorem. Čes Gynek, 2014, 79, 6, s. 477–486.

9. Granberg, S., Norstrom, A., Wikland, M. Tumors in the lower pelvis as imaged by vaginal ultrasound. Gynecol Oncol, 1989, 37, p. 224–229.

10. Guerriero, S., Ajossa, S., Mais, V., et al. Is colour Doppler useful in the diagnosis of functional ovarian cysts? Hum Reprod, 1998, 13, 2, p. 503–505.

11. Gupta, P., Huria, A. Management of ovarian cysts with percutaneous aspiration and methotrexate injection. Niger Med J, 2016, 57, 1, p. 19–23.

12. Chapron, C., Dubuisson, JB., Fritel, X., et al. Diagnosis and management of organic ovarian cysts: indications and procedure for laparoscopy. Hum Reprod Update, 1994, 2, 5, p. 435–446.

13. Chapron, C., Fabris, M. Gastointestinal injury during gynaecological laparoscopy. Hum Reprod, 1999, 14, 2, p. 333–337.

14. Chapron, C., Querleu, D., Bruhat, MA., et al. Surgical complications of diagnostic and operative gynaecological laparoscopy: a series of 29 966 cases. Hum Reprod, 1998, 13, 4, p. 867–872.

15. Jarošová, R., Fait, T. Využití nehormonálních účinků kombinované hormonální kontracepce u pacientky s recidivujícím výskytem ovariálních cyst. Čes Gynek, 2009, 74, 5, s. 393–395.

16. Jeremy, K., Luise, C., Bourne, T. The characterization of common ovarian cyst in premenopauzal women. Ultrasound Obstet Gynacol, 2001, 17, p. 140–144.

17. Kroon, CD., van der Sandt, HAGM., van Houwelingen, IC., et al. Sonographic assessment of non-malignant ovarian cyst:does sonohistology exist? Hum Reprod, 2004, 19, 9, p. 2138–2143.

18. Li, CZ., Liu, B., Ze-Quing Wen, YQ., et al. The impact of electrocoagulation on ovarian reserve after laparoscopic excision of ovarian cysts: a prospective clinical study of 191 patients. Fertil Steril, 2009, 92, 4, p. 1428–1435.

19. Lipitz, S., Seidman, DS., Menczer, J., et al. Recurrence rate after fluid aspiration from sonographically benign-appearing ovarian cysts. J Reprod Med, 1992, 37, 10, p. 845–848.

20. Ludwig, AK., Glawatz, M., Griesinger, G., et al. Perioperative and post-operative complications of transvaginal ultrasound-guided oocyte retrieval: prospective study of >1000 oocyte retrievals. Hum Reprod, 2006, 21, 12, p. 3235–3240.

21. MacKenna, A., Fabres, C., Alam, V., et al. Clinical management of functional ovarian cysts: a prospective and randomized study. Hum Reprod, 2000, 15, 12, p. 2567–2569.

22. Novotná, M., Huvar, I., Bláha, O. Dlouhodobé užívání kombinované hormonální kontracepce – mýty a realita. Čes Gynek, 2002, 5, s. 297–304.

23. Parsanezhad, ME., Bagheri, MH., Saeed Alborzi, S., et al. Ovarian stroma blood flow changes after laparoscopic ovarian cauterization in women with polycystic ovary syndrome. Hum Reprod, 2003, 18, 7, p. 1432–1437.

24. Pascual, MA., Hereter, L., Tresserra, F., et al. Transvaginal sonographic appearance of functional ovarian cysts. Hum Reprod, 1997, 12, 6, p. 1246–1249.

25. Vercellini, P., Oldani, S., Felicetta, I., et al. The value of cyst puncture in the differential diagnosis of benign ovarian tumours. Hum Reprod, 1995, 10, 6, p. 1465–1491.

26. De Wilde, R., Bordt, J., Hesselling, M., et al. Ovarian cystostomy. Acta Obstet Gynecol Scand, 1989, 68, 4, p. 363–364.

27. Zanetta, G., Lissoni, A., Torri, V., et al. Role of puncture and aspiration in expectant management of simple ovarian cyst: a randomized study. BMJ, 1996, 313, p. 1110.

28. Zhang, XR., Ding, LL., Tang, R., et al. Effects of cystectomy for ovary benign cyst on ovarian reserve and pregnancy outcome of in vitro fertilization-embryo transfer cycle. Zhonghua Fu Chan Ke Za Zhi, 2016, 51, 3, p. 180–185.