Dermoid cysts are usually benign (meaning they do not go on to cause cancer). It is a form of tumour which arises when an unfertilised egg begins to divide. Because eggs have the potential to give rise to all cell types, dermoid cysts can form mature tissues. They may contain structures such as hair, oil glands, bone, and teeth. They may cause illness by rupturing or causing twisting of the ovary. They are treated by surgery, either to remove the cyst or the whole ovary. Gynae oncology is a specialised cancer field focusing on cancers of the female sex (genitals) and reproductive system (where and how babies are made). Dr Vijayavel used laparascopy (keyhole surgery) hysterectomy to remove a large demoid cyst successfully.
This patient developed severe adhesions secondary to multiple surgeries. She experienced painful periods and painful sex. The pelvic cavity was obliterated as the bowels stuck to the uterus. Laparascopic hysterectomy was performed at a private hospital in Selangor by Dr Vijay to release the bowels from the uterus. The Ovarian Fossa Tube was removed to facilitate IVF procedure.