Laparoscopic Bilateral Salpingo-Oophorectomy

Abstract

This is a 57 year old post-menopausal woman with known history of bilateral ovarian cysts. On ultrasound two ovarian cysts of 6 and 8cms were noted. Pre-operative evaluation including tumor markers which were all suggestive of benign disease. This patient desired definitive surgical management and was consented for a laparoscopic bilateral salpingo-oophorectomy.The purpose of this video is to demonstrate the removal of large bilateral ovarian cysts through the laparoscope with Ligasure for the RSO and Gyrus for the LSO. Exposure was important during this case and well-demonstrated by the assistant. The cysts were manipulated to allow for maximum exposure without rupture. The specimen were removed via endocatch bags after deflation without difficulty. Final pathology: benign serous cystadenomas. This is a 57 year old post-menopausal woman with known history of bilateral ovarian cysts. On ultrasound two ovarian cysts of 6 and 8cms were noted. Pre-operative evaluation including tumor markers which were all suggestive of benign disease. This patient desired definitive surgical management and was consented for a laparoscopic bilateral salpingo-oophorectomy. The purpose of this video is to demonstrate the removal of large bilateral ovarian cysts through the laparoscope with Ligasure for the RSO and Gyrus for the LSO. Exposure was important during this case and well-demonstrated by the assistant. The cysts were manipulated to allow for maximum exposure without rupture. The specimen were removed via endocatch bags after deflation without difficulty. Final pathology: benign serous cystadenomas.