About Video

This video demonstrates single-port laparoscopic endometriosis surgery. Under general anesthesia in dorsal lithotomy position abdomen and vaginal port painted and drapped. Uterine manipulator inserted in uterine cavity through cervix. A single 2.5 vertical umbilical incision is made and abdominal cavity was accessed as with open technique. A multichannel single-port placed. Pneumoperitoneum created using CO2 gas and 14 mm Hg intra-abdominal pressure maintained. 45 cm long 30° telescope of 5 mm diameter inserted. On pelvic examination 6 × 6 cm right ovarian endometrioma noted which was punctured and aspirated chocolate colored material. Right ovarian tissue suspended temporarily to anterior abdominal wall using straight needle. Retroperitoneal space is dissected at pelvic brim in right side. Ureter is dissected from pelvic brim to uterine artery and up to uterovesical junction. In left ovary a 4 × 4 cm ovarian cyst noted which is punctured and aspirated of straw colored fluid. In the left side ureter is delivered and mobilized laterally, whereas rectosigmoid medially then endometriotic nodules from both uterosacral ligaments dissected and excised. An endometriotic nodule over right ureter is also excised using harmonic. Left side ureter delineated up to uterosacral ligament. Now using rectal probe, rectosigmoid mobilized downwords. At the end, right side endometriotic cyst wall enucleated out. At the end, natural pelvic anatomy restored.