7407 A Self-Made Bag Assisted LESS in Ovarian Teratomectomy during Pregnancy

Abstract

<h3>Study Objective</h3> To show how ovarian teratoma during Pregnancy can be safely managed with laparoendoscopic single-site surgery. <h3>Design</h3> Stepwise demonstration of the technique with narrated video footage. <h3>Setting</h3> The reported incidence of ovarian cysts in pregnancy varies from 0.05% to 1.2%, Compared with open surgery, laparoscopic surgery adnexal cyst during pregnancy does not increase the risk of mother and fetus. LESS has better postoperative recovery. However, conventional laparoscopic surgery is safer than LESS. <h3>Patients or Participants</h3> The patient was a 31-year-old woman, gravida 3, para 2, at gestational age of 15 weeks who was diagnosed with 5.6*4.1cm right ovarian teratoma and 2.0*2.3cm left ovarian cyst. Teratomectomy was performed at the same time of the previous cesarean section in 2018. <h3>Interventions</h3> A Self-made Bag Assisted LESS approach to ovarian teratoma with several key strategies to minimize fetal impact, ovarian damage, blood loss: 1. Make a retrieval bag before surgery with inner packaging bag of the disposable suction tube. 2. Place the affected ovary in the retrieval bag and pull the bottom of the retrieval bag to the umbilicus. To reduce the stimulation of the uterus by surgical procedures. 3. Cut the surface of the affected ovary with a cold blade to reduce ovarian damage. 4.Cut the teratoma pedicle with an ultrasonic knife to reduce bleeding. <h3>Measurements and Main Results</h3> N/A. <h3>Conclusion</h3> When performing an ovarian cystectomy under LESS, we could use upside-down specimen bag to remove the cyst from abdominal cavity conveniently, quickly and with no pollution. Self-made specimen bag is cost-saving, convenient to use. The operation has the least impact on the pregnant uterus and avoids the impact on the fetus. And cold knife and suture are used in the operation to maximize the protection of ovarian function.