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World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Laparoscopic Management of

Ovarian Diseases

R. K. Mishra

1

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ovarian Cyst

Ovarian cysts are sacs

filled with fluid or a

semisolid material that

develops on or within the

ovary.

Surgery is indicated if the

growth is larger than 4 in

(10 cm), complex,

growing, persistent, solid

and irregularly shaped,

on both ovaries, or

causes pain or other

symptoms.

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Anatomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Anatomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Vascular Supply

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Selection of Case

Before selecting any case for

laparoscopy Ca-125 -- an ovarian cancer

marker that may help to identify

cancerous cysts in older women.

Hormone levels (such as LH, FSH,

estradiol, and testosterone) may be

checked to evaluate for associated

hormonal conditions.

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Contraindication

Malignancy is a Absolute contraindication

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Operating room Setup

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Port Position

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Port Position in Bilateral Cyst

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Patient and Port Position

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Oophorectomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Oophorectomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ovarian Cystectomy

Laparoscopy is gold

standard management of

Ovarian Cyst

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Enucleation

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ovarian Cystectomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ovarian Cystectomy

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Oophorectomy in special

circumstances

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Oophorectomy in special

circumstances

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Oophorectomy in special

circumstances

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Endometrioma

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Endometrioma

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Ovarian Endometrioma

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Endometriotic nodule

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Endometrioma

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Retrieval of Cyst

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Limitations

World Laparoscopy Hospital Essentials of Laparoscopic Surgery

Thank You

Every woman after puberty gets them.

Every gynaecologists feels them.

Thankfully, most of them don't really matter at all.

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