Although ovarian mature cystic teratomas are the commonest adnexal masses occurring in premenopausal women, there are many\nchallenges faced by gynecologists on deciding upon the best surgical management. There is uncertainty, lack of consensus, and\nvariation in surgical practices. This paper critically analyzes various surgical approaches and techniques used to treat these cysts\nin an attempt to outline a unified guidance. MEDLINE and EMBASE databases were searched in January 2015 with no date limit\nusing the key words ââ?¬Å?ovarian teratomaââ?¬Â and ââ?¬Å?ovarian dermoid.ââ?¬Â The search was limited to articles in English language, humans,\nand female. The two authors conducted the search independently. The laparoscopic approach is generally considered to be the gold\nstandard for the management. Oophorectomy should be the standard operation except in younger women with a single small cyst.\nThe risk of chemical peritonitis after contents spillage is extremely rare and can certainly be overcome with thorough peritoneal\nlavage using warmed fluid.There is a place for surveillance in some selected cases.
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