Hessami S H, Kohanim B, Grazi R V
Robert C. Byrd Health Sciences Center of West Virginia University, Department of Obstetrics and Gynecology, 4601 Health Sciences North, P.O. Box 9186 Morgantown, WV 26506-9186, USA.
J Am Assoc Gynecol Laparosc. 1995 Aug;2(4):479-81. doi: 10.1016/s1074-3804(05)80075-1.
Due to the risk of aseptic peritonitis associated with intraoperative rupture of dermoid cysts, many surgeons are reluctant to remove the lesions laparoscopically. In our series, 12 dermoid cysts were removed laparoscopically. Intraoperative spillage occurred in all cases and was managed with copious lavage. None of the patients experienced postoperative morbidity associated with peritonitis, indicating that intraoperative spillage of dermoid cysts is not associated with morbidity as long as vigorous lavage is performed.
由于皮样囊肿术中破裂会有发生无菌性腹膜炎的风险，许多外科医生不愿通过腹腔镜切除这些病变。在我们的病例系列中，12个皮样囊肿通过腹腔镜被切除。所有病例术中均发生了囊内容物溢出，通过大量灌洗进行处理。没有患者出现与腹膜炎相关的术后并发症，这表明只要进行积极的灌洗，皮样囊肿术中囊内容物溢出不会导致并发症。
