PMC3367404_01
Panoramic view of the abdominal cavity. Left dermoid cyst torted x 3 (panel A). A view of the pelvis after removal of the left adnexa (panel B). The right adnexa appear normal.
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After placing the trocars and panoramically viewing the abdominal cavity (Figure 1), we used a 5 mm probe to stent and antivert the uterus, and we also used a self-locking atraumatic grasper to handle the uterus carefully as needed. We found a left ovarian cyst torted x 3 (Figure 1, panel A). After finding the right ovary and tube to be normal (Figure 1, panel B), we untwisted the cyst and started to perform the cystectomy. The left adnexa, which were about 11 x 13 cm upon intraoperative assessment (Figure 1A), did not fit into the normally available endobag, so we used a large nephrectomy bag to remove the specimen from the abdominal cavity.