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Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology
by Nutan JainIn this video is a 22-years-young girl suffering from the lower abdominal pain since last two months. Echo poor cystic lesion of 6 × 4 cm in left adnexal region seen separately from the left ovary. Patient laid in modified lithotomy position under GA. Four ports laparoscopy done, all ports are 5 mm except camera port which is 10 mm. Uterus is anteverted and normal in shape and size. UV pouch and pouch of Douglas normal. Left side big size paraovarian cyst noted. Both tubes and right ovary was normal. Line of incision over the cyst was demarcated using bipolar coagulator. Incision given on the cyst capsule with cold scissor and dissection done in a good plane of separation. Cyst enucleated in toto. Cyst contents aspirated with needle aspirator. Cyst lining removed completely through the 5 mm port by giving multiple linear cuts. Cyst lining sent for histopathological examination (HPE). Bilateral ovaries and tubes also looked anatomically normal.
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