Laparoscopic Large Ovarian Cystectomy, Appendectomy, and Removal through a Natural Orifice in a 16 Year Old Female

Abstract

To demonstrate a stepwise approach to the laparoscopic excision of an 18cm ovarian cyst in a 16 year old female. This video demonstrates the laparoscopic excision of an 18 cm mucinous, multiloculated right ovarian cyst and appendix are described using 5 mm laparoscopic abdominal incisions. The cystectomy was performed through four 5 mm laparoscopic abdominal ports and a 12 mm posterior colpotomy. Controlled entry into a large ovarian cyst and no-spill evacuation of the cyst fluid are demonstrated. The laparoscopic appendectomy is performed with an Endo GIA stapler. Laparoscopic closure of the posterior colpotomy, and survey of the pelvis complete the procedure. Laparoscopic management of a benign ovarian cyst with preservation of the ovary is an acceptable and preferable method in young reproductive age females.