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| Name | Minimally Invasive Approach to the Large Ovarian Cyst |
| Video Uploader | Video From CanSAGE Secretariat |
| Upload Date | This Video Uploaded At 07-08-2024 19:12:10 |
| Video Discription | The video demonstrates a stepwise minimally invasive approach to managing a large ovarian cyst, emphasizing techniques to minimize intraoperative spillage and detailing best practices and common challenges. See full transcript here: www.cansagevideos.com/minimally-invasive-approach-to-the-large-ovarian-cyst/ Presented By Dr. Martha Smith Dr. Kinshuk Kumar Dr. Paul Davies Dr. Mary Melchior Affiliations University of Toronto Obstetrics & Gynaecology St. Joseph's Unity Health Toronto Timestamps (00:08) Objectives (00:23) Case Presentation (00:51) Pre Operative Imaging (01:18) Surgical Consent (01:28) Surgical Steps (01:51 - 06:17) Procedure Video (06:18) Post Operative Course (06:22) Summary of Surgical Steps The video outlines a minimally invasive approach for managing a large ovarian cyst, presented by the Ottawa Minimally Invasive Gynaecology Group. The case involves a 20-year-old woman with a history of polycystic ovarian syndrome and previous ovarian torsion, who presented with intermittent right lower quadrant pain. An ultrasound revealed a large, complex ovarian cyst, and the patient consented to a laparoscopic unilateral oophorectomy and possible contralateral ovarian cystectomy. The procedure is divided into four key steps: abdominal entry, cyst decompression, laparoscopic cystectomy or oophorectomy, and specimen extraction with abdominal closure. The video emphasizes the importance of optimal incision location for abdominal entry, using a small wound protector-retractor system to visualize the cyst. Cyst decompression is performed with minimal spillage using a large bore needle and suction devices. The drained cyst is then secured with an endoloop to prevent further spillage. During laparoscopy, safe abdominal entry is ensured with an optical trocar, and additional ports are placed under direct visualization. The decision between cystectomy and oophorectomy is based on patient factors, with oophorectomy chosen in this case to prevent recurrence. Specimen extraction is performed using a bag, with the cyst contents further decompressed if necessary, and the specimen sent to pathology. The video concludes by summarizing the four key steps and highlighting the successful recovery of the patient, who was discharged the same day. This minimally invasive approach demonstrates effective management of large ovarian cysts with reduced risks and improved patient outcomes. |
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