Journal of Surgical Technique and Case Report
Journal of Surgical Technique and Case Report
CASE REPORT
Year : 2013  |  Volume : 5  |  Issue : 1  |  Page : 41-44

Single incision laparoscopic surgery for a large endometriotic cyst


1 Department of Obstetrics and Gynaecology, National University Hospital, Singapore
2 Yong Loo Lin School of Medicine, National University of Singapore, Singapore

Correspondence Address:
Ying Woo Ng
Department of Obstetrics and Gynaecology, National University Hospital, 1E Lower Kent Ridge Road, NUHS Tower Block, Level 12, 119228
Singapore
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2006-8808.118628

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We describe a technique for the treatment of large benign ovarian cysts by single port laparoscopic surgery via the umbilical approach. X-cone single port system (Karl Storz) was employed in this surgery. Prebent atraumatic grasping forceps were used in conjunction with the straight laparoscopic instruments. We propose using a "to-fro" peeling technique in the z-axis in SPLS cystectomy. Combined use of prebent and straight laparoscopic instruments enables the cystectomy to be performed in the z-axis, thereby avoiding instruments crossing and hands collision outside the abdomen. The proposed technique proved to be feasible, easy to employ, and safe in SPLS cystectomy, with the additional benefi t of superior cosmetic outcome.


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