A Novel Technique for Intact Laparoscopic Removal of a Large Benign Pelvic Mass

Abstract

This video demonstrates a new technique in removing a benign pelvic mass laparoscopically. This technique was borne out of the common occurrence of large pelvic masses obscuring visual planes and identifiable structures during the laparoscopic dissection and excision. We suggest, under direct visualization, placing a trocar followed by a aspirator device directly into the mass, which then greatly reduces the size of the mass and its contents from the abdomen. This video demonstrates the effectiveness of this technique in a case involving a right sided pelvic mass and subsequent laparoscopic bilateral salpingo-oophorectomy.