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Laparoscopic ovarian cystectomy

Persistent or symptomatic benign cyst (dermoid, endometrioma) with low malignancy risk.

Source: Standard operative texts

Steps

  1. Safe entry and ports (see Laparoscopy entry).
  2. Inspect pelvis and upper abdomen; washings if any doubt.
  3. Incise ovarian cortex away from the hilum.
  4. Find plane; strip cyst wall with two graspers (traction–countertraction).
  5. Minimal bipolar — protect ovarian reserve; suture ovary if needed.
  6. Remove in an endobag (mandatory for dermoids); irrigate after any spill.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.