Minimally Invasive Technique for Removal of Giant Serous Cyst Adenoma of the Ovary

Background: large ovarian cysts are rarely seen in the paediatric population and can now be managed by a variety of surgical approaches. case presentation: we report a case where a substantial right ovarian cyst in a 13 year old was removed through a single incision in the superior umbilical fold leaving no discernable scar. the placement of a purse string facilitated safe decompression of the cyst allowing delivery into the wound where the lining was stripped before being returned to the abdomen. conclusions: subsequent single incision laparoscopic surgery (sils) port placement through the same wound allowed for a full inspection of the pelvis and abdomen. this approach represents an advance on conventional surgery and is a tenable alternative to an exclusive laparoscopic technique.