Removing Ovarian Tumours Vaginally:The Odyssey of a Gynaecologist

Abstract

Ovarian enlargement can be due to non neoplastic conditionsor neoplastic condition The most common functional cyst is the follicular cyst which rarely is larger than 8 cm Most ovarian tumours 80 to 85 are benign and two thirds of these occur in women between 20 and 44 years The chance that a primary ovarian tumor in a patient younger than 45 years of age is less than 1 in 15 In postmenopausal women the incidence of malignant ovarian tumours increases to about 30 Most benign ovarian tumours are cystic and presence of solid component makes it more likely to be malignant In my study 18 womenunderwent vaginal hystere- ctomy with ovarian cystectomy with bilateral salphingectomy Investigations usg pelvis CT MRI Tumour markers were done to rule out ovarian malignancy After vaginal hysterectomy veress needle was used to pucture the cyst vaginally aspirate it and deliver it out Histopathology proved the benign nature of the cysts This study illustrates vaginal removal of benign ovarian cysts as large as 30wks size successfully After all vaginal route is the prerogative of a gynaecologist