Operative transvaginal hydrolaparoscopy of a large ovarian endometrioma

Stephan Gordts, Rudi Campo, Ivo Brosens
In: Gynaecological Endoscopy · 2000 · vol. 9(4) , pp. 227–231 · doi:10.1046/j.1365-2508.2000.00355.x · W1980628898
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Transvaginal hydrolaparoscopy enabled feasible reconstruction of an ovary with a large endometrioma through easy access, bloodless dissection, and marsupialization of the cyst.

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Abstract

Objectives The purpose of this case report is to describe the feasibility of transvaginal underwater surgery for reconstruction of the ovary with a large endometrioma. Design Descriptive study. Setting Tertiary referral centre for reproductive medicine. Interventions Transvaginal hydrolaparoscopy and bipolar surgery were used as the techniques for access and surgery of a large ovarian endometrioma. Results A two‐step procedure was performed with the first step under general anaesthesia and the second under conscious sedation. Transvaginal hydrolaparoscopy allowed easy access, bloodless dissection of the adhesions and marsupialization and coagulation of the endometrioma. Conclusions The report proves the feasibility of reconstruction of the ovary with a large endometrioma using the new technique of transvaginal hydrolaparoscopy. The technique has the advantage of easy access to the endometrioma and accurate dissection and coagulation of adhesions. The low morbidity makes a two‐step technique more acceptable to the patient.

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Condition tags

endometrioma

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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