This paper provides a complete review for Laparoscopic surgery. Laparoscopic surgery has many advantages, like less tissue dissection, less need of analgesia postoperatively, better cosmetic aspect, less intraoperative and postoperative complications, and early return to work. Presence of adnexal mass is one of the most common indications for referral to the gynaecologist. Adnexal masses can be discovered accidently in patients being evaluated for a Gynecological complaint or even in asymptomatic patients.
An ideal ovarian cystectomy will consist of removal of the cyst intact with limited trauma to residual ovarian tissues. With large cysts, aspiration is appropriate to decompress the mass and assist in dissection and excision. If cyst ruptures, the resulting contamination is greater than if the cyst were opened and aspirated. However, teratomas should be removed intact whenever possible. Laparoscopic management of dermoid cysts was reported as early as 1987. This review aims to assess the safety and outcomes of laparoscopic management of adnexal masses.