PMC3015447_01
PMC3015447_02
PMC3015447_03
PMC3015447_04
The enlarged 22-week gravid uterus.
jsls-5-3-273-g01.jpg
PMC3015447_04_jsls-5-3-273-g01.jpg
F1
We used the Hasson open laparoscopic technique for placement of the umbilical port because of the enlarged gravid uterus and the large ovarian cyst (Figures 1 and 2).
Enlarged ovarian cyst 3.2 litres. Note the liver edge and diaphragm on the left.
jsls-5-3-273-g02.jpg
PMC3015447_04_jsls-5-3-273-g02.jpg
F2
We used the Hasson open laparoscopic technique for placement of the umbilical port because of the enlarged gravid uterus and the large ovarian cyst (Figures 1 and 2).
Insertion of the 10-11-mm trocar under direct visualization. Note the liver edge on the right corner.
jsls-5-3-273-g03.jpg
PMC3015447_04_jsls-5-3-273-g03.jpg
F3
The third port site was 10- to 11-mm, and its placement depended on the location of the enlarged ovary (Figure 3).
Decompressing the large ovarian cyst. Bowel on the left and liver on the right.
jsls-5-3-273-g04.jpg
PMC3015447_04_jsls-5-3-273-g04.jpg
F4
Once the suction vacuum was switched on, the aspirator sleeve created a seal between the suction aspirator tip and the ovarian capsule, which prevented spillage (Figure 4).
Retraction of the decompressed ovarian cyst out of the anterior abdominal wall through the 3-cm enlarged port site.
jsls-5-3-273-g05.jpg
PMC3015447_04_jsls-5-3-273-g05.jpg
F5
The 10- to 11-mm port site was then enlarged to about 3 to 4 cm (Figure 5), and the ovary was extracted out of the abdomen (Figure 6).
Extracorporeal cystectomy.
jsls-5-3-273-g06.jpg
PMC3015447_04_jsls-5-3-273-g06.jpg
F6
The 10- to 11-mm port site was then enlarged to about 3 to 4 cm (Figure 5), and the ovary was extracted out of the abdomen (Figure 6).
Extracorporeal cystectomy, then the ovary was put back into the abdomen and the incision closed.
jsls-5-3-273-g07.jpg
PMC3015447_04_jsls-5-3-273-g07.jpg
F7
A partial extracorporeal oophorectomy or cystectomy was performed easily in a reasonable amount of time (Figure 7).