Hellow guys, Welcome to my website, and you are watching Novel technique for safe video-laparoscopic removal of very large ovarian cysts. and this vIdeo is uploaded by Camran Nezhat Institute, Palo Alto. CA at 2017-02-08T15:29:46-08:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | Novel technique for safe video-laparoscopic removal of very large ovarian cysts |
| Video Uploader | Video From Camran Nezhat Institute, Palo Alto. CA |
| Upload Date | This Video Uploaded At 08-02-2017 23:29:46 |
| Video Discription | The removal of a very large ovarian cyst poses a unique surgical challenge. In this video, we demonstrate a no-spill technique for the minimally invasive removal of a very large ovarian cyst that does not have characteristics concerning for malignancy. In order to optimize our surgical view, the camera is placed in a sub-xiphoid 5 mm port. We apply one suction tubing directly to the 12mm umbilical trochar’s insufflation port. The suction is sufficient to form a tight seal with the wall of the cyst. The wall of the cyst is secured using two grasping forceps. Using the trochar blade, we puncture the cyst. The trochar is removed and a 10mm suction probe is placed directly into the cyst. All the while, the suction on the cyst wall remains, creating a tight seal, and no cyst fluid escapes. As the fluid continues to drain, the port and suction probe can be further advanced together into the cyst to rapidly drain the cyst contents. After drainage, the cyst can more easily be grasped and carefully placed into an endobag for any remaining drainage followed by removal via the umbilical port or a mini-laparotomy incision. Once removed, the specimen is evaluated and sent for frozen section. If malignancy were to be detected, surgical staging should be performed either laparoscopically or by laparotomy. We hope our technique will allow for more patients to benefit from safe minimally-invasive removal of large adnexal cysts. |
| Category | Science & Technology |
| Tags | camran nezhat | camran nezhat institute | large ovarian cyst | minimally invasive surgery | laparoscopy | technique | no-spill technique | adnexal mass | large cyst | ovaries | pain | pelvic pain | chronic pain | chronic pelvic pain | infertility | chocolate cyst | endometrioma | adnexal cyst | cystectomy | laparoscopic cystectomy |
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