Spillage of ovarian cyst fluid during surgery is associated with a number of risks, including chemical peritonitis,gliomatosis peritonei, pseudomyxoma peritonei, tumor recurrence, and dissemination of malignant cells.Several reports have described the use of a suction tube such as a S.A.N.D.balloon catheter to prevent spillage of cyst fluid, but the reliability of some procedures has been questioned because the direct puncture of cysts unavoidably results in the release of some cyst fluid.