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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications
2011
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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. |
format | Online Article Text |
id | pubmed-3193693 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
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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