Marsupialization
Encyclopedia
Marsupialization is the surgical technique of cutting a slit into a cyst
Cyst
A cyst is a closed sac, having a distinct membrane and division on the nearby tissue. It may contain air, fluids, or semi-solid material. A collection of pus is called an abscess, not a cyst. Once formed, a cyst could go away on its own or may have to be removed through surgery.- Locations :* Acne...

 and suturing the edges of the slit to form a continuous surface from the exterior to the interior of the cyst. Sutured in this fashion, the cyst remains open and can drain freely. This technique is used to treat a cyst when a single draining would not be effective and complete removal of the surrounding structure would not be desirable.

The technique is often applied to pancreatic cysts
Pancreas
The pancreas is a gland organ in the digestive and endocrine system of vertebrates. It is both an endocrine gland producing several important hormones, including insulin, glucagon, and somatostatin, as well as a digestive organ, secreting pancreatic juice containing digestive enzymes that assist...

, pilonidal cysts
Pilonidal cyst
A pilonidal cyst, also referred to as a pilonidal abscess, pilonidal sinus or sacrococcygeal fistula, is a cyst or abscess near or on the natal cleft of the buttocks that often contains hair and skin debris.-Etymology:...

, and Bartholin's cysts
Bartholin's cyst
A Bartholin's cyst is formed when a Bartholin's gland is blocked, causing a fluid-filled cyst to develop. A Bartholin's cyst is not an infection, although it can be caused by an infection, inflammation, or physical blockage to the Bartholin's ducts . If infection sets in, the result is a...

. In the case of a dentigerous cyst
Dentigerous Cyst
A dentigerous cyst or Follicular Cyst is an odontogenic cyst - thought to be of developmental origin - associated with the crown of an unerupted tooth. The cyst cavity is lined by epithelial cells derived from the reduced enamel epithelium of the tooth forming organ...

, marsupialization may be performed to allow the growing tooth associated with the cyst to continue eruption into the oral cavity.

When, due to an error of diagnosis, the technique is applied to a dermoid cyst
Dermoid cyst
A dermoid cyst is a cystic teratoma that contains developmentally mature skin complete with hair follicles and sweat glands, sometimes clumps of long hair, and often pockets of sebum, blood, fat, bone, nails, teeth, eyes, cartilage, and thyroid tissue. Because it contains mature tissue, a dermoid...

 (teratoma
Teratoma
A teratoma is an encapsulated tumor with tissue or organ components resembling normal derivatives of all three germ layers. There are rare occasions when not all three germ layers are identifiable...

) or other tumor
Tumor
A tumor or tumour is commonly used as a synonym for a neoplasm that appears enlarged in size. Tumor is not synonymous with cancer...

, the risk of subsequent tumor recurrence and cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

is much increased.
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