A novel approach for laparoscopic retrieval of dermoid cyst
A dermoid cyst is a germ cell tumour, benign in nature and common in young women under the age of 30. They are usually asymptomatic and often detected incidentally on imaging. Resection of the cyst is important owing to complications like torsion or malignancy.

Laparoscopic surgery is the modality of choice in today’s era. However, rupture of the cyst during laparoscopic retrieval is any surgeon’s nightmare. Hence, good surgical skill and a reliable method of retrieval are of prime importance here.

In the present paper, published in the International Journal of Reproduction, Contraception, Obstetrics and Gynecology, the authors present a novel method of dermoid extraction done laparoscopically with a sterile urine collection (urobag) bag. This is an easy and simple method which decreases the rate of spillage owing to the strength of the bag.

A 28-year-old, nulligravida married for 2 years presented with symptoms of vague pain in abdomen. No other associated symptoms were present. Her menstrual cycle was regular. On examination vital signs were normal. Cardiovascular and respiratory system examination was within normal limit. On per abdomen examination, abdomen was soft and there was no guarding, rigidity or tenderness.

On per vaginum examination, uterus was normal size, retroverted and there was minimal fullness in right adnexa. Her laboratory investigations were within normal limits. Ultrasound examination revealed a complex cyst of around 4cm in right adnexa suggestive of dermoid cyst. She was posted for a laparoscopic cystectomy.

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