Abstract
<h3>Study Objective</h3> To demonstrate the use of a posterior colpotomy for transvaginal retrieval of intrabdominal specimens. <h3>Design</h3> Video case-report presentation. <h3>Setting</h3> Tertiary, academic hospital. <h3>Patients or Participants</h3> 55-yo nulligravid with a 12 cm left side adnexal mass and abdominal pain. She had a Ca 125 of 15.8 U/mL and her ultrasound showed no signs of malignancy with no internal Dopplers, no papillae, just a small solitary septation and thin walls. Finding suggestive of a cystoadenoma. <h3>Interventions</h3> Posterior colpotomy for the retrieval of a large ovarian cystoadenoma using a 15mm specimen retrieval pouch <h3>Measurements and Main Results</h3> a large cystoadenoma 12 cm size was removed through a colpotomy. The cyst was drained inside of a large laparoscopic specimen bag and then retrieved without difficulties. <h3>Conclusion</h3> The use of a posterior colpotomy for the transvaginalapproach for retrieving specimens appears to be a safe approach. It minimizes the size of the abdominal incisions improving pain scores and cosmesis
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