[Ovarian cysts: ultrasound-guided puncture, celioscopy or laparotomy?].

The authors report a series of 262 "ovarian tumors" operated on between 1982 and 1986. The place of "primary" laparoscopy went from 79% in 82-84 to 83% in 85 and 85% in 86 and the place of "pure" laparoscopic treatment went from 39% to 57% and 60%, respectively, excluding patients with an obvious cancer, patients over 40 and pregnant women over 16 weeks, in whom a primary laparotomy is indicated. The indications of the laparoscopic treatment may be carried further. And there is a place for a tap under ultrasonographic control. Various approaches are presented.