Laparoscopic ovarian cystectomy using double balloon catheter: a new technical application

Area of Science:

• Minimally Invasive Gynecological Surgery
• Surgical Instrumentation

Background:

• Ovarian cystectomy is a common gynecological procedure.
• Traditional methods may present challenges, especially with specific cyst types like endometriomas ('chocolate cysts').
• Laparoscopic approaches are preferred for minimally invasive treatment.

Purpose of the Study:

• To describe a modified surgical instrument for ovarian cystectomy.
• To evaluate the efficacy and safety of a novel double-balloon catheter in laparoscopic ovarian cystectomy.
• To highlight advantages of the SAND balloon catheter for difficult-to-remove ovarian cysts.

Main Methods:

• A modified surgical instrument, the SAND balloon catheter, featuring two inflatable balloons at the tip, was designed and utilized.
• The technique involves puncturing the cyst and inflating the inner and outer balloons to secure the cyst.
• The instrument facilitates cyst fixation, allowing for the removal of the internal needle.

Main Results:

• The described technique using the SAND balloon catheter proved effective and safe in laparoscopic ovarian cystectomy.
• The double-balloon system demonstrated particular efficacy in the removal of chocolate-like cystoma (endometriomas).
• The instrument allows for secure cyst fixation, simplifying the surgical procedure.

Conclusions:

• The SAND balloon catheter represents an advantageous innovation for laparoscopic ovarian cystectomy.
• This technique enhances safety and effectiveness, especially for managing endometriomas.
• The double-balloon design provides improved cyst stabilization during minimally invasive procedures.