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Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments

We describe a technique for the management of large benign ovarian cysts by single incision laparoscopic surgery (SILS) through the umbilicus. The paucity of intra-abdominal working space in large ovarian cysts poses a technical challenge. Moreover, difficult convergence of operating instruments and...

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Detalles Bibliográficos
Autores principales: Garg, Pankaj, Misra, Swapna, Thakur, Jai Deep, Song, Jeremy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193693/
https://www.ncbi.nlm.nih.gov/pubmed/22022112
http://dx.doi.org/10.4103/0972-9941.85646
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author Garg, Pankaj
Misra, Swapna
Thakur, Jai Deep
Song, Jeremy
author_facet Garg, Pankaj
Misra, Swapna
Thakur, Jai Deep
Song, Jeremy
author_sort Garg, Pankaj
collection PubMed
description We describe a technique for the management of large benign ovarian cysts by single incision laparoscopic surgery (SILS) through the umbilicus. The paucity of intra-abdominal working space in large ovarian cysts poses a technical challenge. Moreover, difficult convergence of operating instruments and competition for operating space outside the abdomen during the SILS makes the procedure quite demanding, especially with the conventional instruments. The concept of providing traction by taking sutures from the abdominal wall, as done in SILS laparoscopic cholecystectomy, was applied for SILS cystectomy in large ovarian cysts. Two sutures taken through the abdominal wall and then through the cyst wall provide excellent traction and “hang” the cyst from the abdominal wall, making it convenient to dissect and operate. This technique demonstrates that SILS ovarian cystectomy is feasible, safe and technically unchallenging even in large benign ovarian cysts.
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spelling pubmed-31936932011-10-21 Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments Garg, Pankaj Misra, Swapna Thakur, Jai Deep Song, Jeremy J Minim Access Surg Unusual Case We describe a technique for the management of large benign ovarian cysts by single incision laparoscopic surgery (SILS) through the umbilicus. The paucity of intra-abdominal working space in large ovarian cysts poses a technical challenge. Moreover, difficult convergence of operating instruments and competition for operating space outside the abdomen during the SILS makes the procedure quite demanding, especially with the conventional instruments. The concept of providing traction by taking sutures from the abdominal wall, as done in SILS laparoscopic cholecystectomy, was applied for SILS cystectomy in large ovarian cysts. Two sutures taken through the abdominal wall and then through the cyst wall provide excellent traction and “hang” the cyst from the abdominal wall, making it convenient to dissect and operate. This technique demonstrates that SILS ovarian cystectomy is feasible, safe and technically unchallenging even in large benign ovarian cysts. Medknow Publications 2011 /pmc/articles/PMC3193693/ /pubmed/22022112 http://dx.doi.org/10.4103/0972-9941.85646 Text en Copyright: © Journal of Minimal Access Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Unusual Case
Garg, Pankaj
Misra, Swapna
Thakur, Jai Deep
Song, Jeremy
Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title_full Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title_fullStr Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title_full_unstemmed Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title_short Single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
title_sort single incision laparoscopic surgery ovarian cystectomy in large benign ovarian cysts using conventional instruments
topic Unusual Case
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3193693/
https://www.ncbi.nlm.nih.gov/pubmed/22022112
http://dx.doi.org/10.4103/0972-9941.85646
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