Operative Techniques in Gynecologic Surgery: REI: Reproductive, Endocrinology and Infertility by Steven T. Nakajima & Travis W. McCoy & Miriam S. Krause & Jonathan S. Berek

Author:Steven T. Nakajima & Travis W. McCoy & Miriam S. Krause & Jonathan S. Berek [Nakajima, Steven T.]
Language: eng
Format: azw3
ISBN: 9781496367358
Publisher: Wolters Kluwer Health
Published: 2017-03-13T04:00:00+00:00

Positioning

The patient should be placed in the normal standard dorsal lithotomy position as for other laparoscopic gynecologic procedures. An intrauterine manipulator may assist in positioning the uterus.

Approach

Laparoscopy is the preferred route for management of ovarian masses. Robotic assistance may be beneficial in cases of large masses and associated advanced endometriosis.

In most cases, three laparoscopic ports are needed in addition to a camera port. This is typically using a right and left lower quadrant port along with a suprapubic port. This allows two instruments to grasp the ovary and a third instrument to provide traction on the cyst wall.

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