Alternative Back-Up Approach for Inaccessible Laparoscopy in Cases of Huge Probably Benign Cystic Adnexal Masses

Abstract

It comprised 28 consecutive reproductive non-pregnant women with above umbilicus huge probably benign cystic adnexal masses beyond the capacity of conventional laparoscopic intervention due to failed access of the intraumbilical primary trochar. Preoperative clinical, biochemical, and sonographic assessment of the cystic lesions revealed probability of benign nature of the cysts. Minilaparotomy (ML) followed by cyst aspiration utilizing a 10 mm laparoscopic trocar followed by cyst wall extraction for histopathology and ovarian refashioning.