I saw the patient for her gynaecological consultation without examination. She was diagnosed at Northwick Park as PCOS and her main concern was abnormal facial hair growth and acne and was advised to start dianette as she was not keen to be examined at that time.
She was seen on 29th Feb 2012 and found that there was an ovarian cyst on the left ovary and she was advised to continue dianette uninterrupted.
She was seen again on the 28th March 2012 and scan was carried out which showed there was obvious suspicious cyst and dermoid in nature and occupying most of the pelvis, freely mobile with possibility of rupture or fortune if left further.
In the view of such findings it was strongly advised to be admitted for operative laparoscopy. We carried out an operative laparoscopy on the 13th of April 2012.
Finding were confirmed multiple loculated dermoid cyst. Fats and cartilage were detected. There was also some clear fluid which was asporated and sent for cytology. The histopathology report has confirmed dermoid cyst. We are waiting a cytology report which most likely would be benign according to the histopathology findings. The procedure was quite long as we have ensured that the ovarian tissue should be preserved on the left side due to the fact that the ovarian cyst was occupying most of the ovarian structure. We managed successfully to recover the ovarian tissue and all the capsules of the cysts were removed of the ovarian tissue. All the dermoid structure and the cyst contents were also removed in full.
The pelvis was extermely clean at the end of procedure. Also there was full haemostasis been established?
Pelvic and abdominal organs all have been checked and were normal. There was a mild adhesion on the left side of the pelvis which was of no significant value. Patient made an excellent post operative recovery and was discharged at the end of the day.