Laparoscopic management of huge pseudomucinous cyst
by Jain Nutan, Jain Vandana, Ranwa Monika

Comprehensive Video Atlas of Laparoscopic Surgery in Infertility and Gynecology

by Nutan Jain
About Video

This is an interesting video of a 26-years-old female married 8-10 months. Present complaints in a big abdominal swelling since last six months. Presumptive diagnosis: a very big ovarian cyst. Patient laid in modified lithotomy position under GA. Five ports laparoscopy done. All 5 mm ports except camera port which is 10 mm. A huge gray color ovarian cystic mass occupying whole of the abdomen up to liver noted. No surface excrescences noted. Aspiration needle inserted into cyst and initial contents aspirated and sent for HPE then suction cannula is inserted through the same site. Whole of the cystic contents aspirated without any spillage. The insertion site is cut a little more by cold scissor so that ovarian cortex and cyst wall lining differentiated separately. With the help of tooth forceps and grasper cyst wall lining enucleated using traction and counter traction. Ovarian cortex left in situ and cyst wall sent for histopathological examination (HPE). Hemostasis achieved over the ovarian cortex using low setting cautery. The whole cyst wall was retrieved through a 10 mm trocar by giving multiple cut over it. On hydrotubation–bilateral spill present.

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