Laparoscopic ovarian suspension to facilitate surgery for advanced endometriosis

OBJECTIVE: To describe a new laparoscopic technique that exposes the ovarian fossa and pelvic side wall by suspending the ovaries to the anterior abdominal wall for advanced endometriosis surgery. DESIGN: Report of an operative technique. SETTING: University teaching hospital. PATIENT(S): More than 50 women operated on for endometriosis over the last 2 years. INTERVENTION(S): Laparoscopic suspension of one or both ovaries to the abdominal wall with transabdominal 2-0 polypropylene suture. MAIN OUTCOME MEASURE(S): Technical feasibility. RESULT(S): The technique is easy to perform in a short period of time. CONCLUSION(S): In cases in which a good exposure to the ovarian fossa is needed, this technique can be performed in a short period of time without the need of an assistant.