Transvaginal Extraction of Ovary by Laparoscopic Salpingo-Oophorectomy for Optimal Patient Care

Aaradhya Sharma

https://www.laparoscopyhospital.com/drrkmishra.htm  In recent years, advancements in surgical techniques have revolutionized the field of gynecology, allowing for minimally invasive procedures with reduced risks and improved patient outcomes. One such procedure is the transvaginal extraction of the ovary through laparoscopic salpingo-oophorectomy. This essay explores the benefits and significance of this innovative approach, highlighting its impact on optimal patient care.  1. Minimally Invasive Approach: Transvaginal extraction of the ovary by laparoscopic salpingo-oophorectomy is a minimally invasive technique that involves accessing the pelvic region through small incisions. The procedure utilizes specialized instruments and a laparoscope, a thin, lighted tube with a camera, to visualize and perform the surgery. By avoiding large abdominal incisions, this approach minimizes tissue trauma, reduces postoperative pain, and accelerates the recovery process for patients.  2. Enhanced Surgical Precision: Laparoscopic techniques provide surgeons with enhanced visualization and precision during the procedure. The laparoscope allows for magnified views of the surgical site, enabling meticulous dissection and removal of the ovary while preserving surrounding structures. This level of precision minimizes the risk of complications, such as damage to adjacent organs or blood vessels, ensuring safer outcomes for patients.  3. Preservation of Reproductive Organs: Transvaginal extraction of the ovary through laparoscopic salpingo-oophorectomy offers the advantage of targeted removal while preserving other reproductive organs. In cases where the ovary is affected by pathology or malignancy, this technique allows for the removal of the affected ovary while preserving the uterus and contralateral ovary, enabling the possibility of future fertility or hormonal balance.  4. Shorter Hospital Stay and Faster Recovery: Compared to traditional open surgeries, transvaginal extraction of the ovary by laparoscopic salpingo-oophorectomy results in shorter hospital stays and faster recovery times. The minimally invasive nature of the procedure reduces the risk of postoperative complications, lowers the incidence of infection, and facilitates early mobilization. Patients can experience a quicker return to their daily activities, contributing to improved overall well-being and quality of life.  https://www.laparoscopyhospital.com/SERV01.HTM

Transcript

00:00hello friends this is a 50 year old patient and she has a right side dermoid cyst she already

00:16has few year ago left-sided dermoid cyst it was operated by open surgery somewhere but later it

00:24was found that right side also it is dermoid and it has a bony component so we will do the

00:29surgery this is sacral pulmonary just for anatomy we can see this is a median sacral vessel and this

00:36is sacral pulmonary here is a ureter and this is IP ligament so we can see the peristalsis of ureter

00:45will start now and this is IP ligament and this is the cyst so cyst is multi loculated with a bony

00:57component and there was a hairball inside so there is no point leaving it inside because family is

01:05already complete and she has the fear of you know this carcinoma so we'll do sulpingo phlectomy we

01:14are only using ligature no any other instrument is used here so you should catch it and pull it

01:20anteriorly pull it cranially and anteriorly so that you cannot damage any other structure so many a

01:28time if you are using ligature you don't need any other instrument with a single instrument you can

01:34do sulpingo phlectomy effectively alternatively you may use one striker mini alligator percutaneously

01:43also but here we are not using that also because it was a simple surgery and this is now major

01:49salpings ovary and ligament is already separated and IP ligament is separated and this is remaining

01:57major salpings so this is the salpingo phrectomy which is being performed and it is done now we can

02:06see ovary is free little bit coagulation of the remaining major salpings area and now this ovary we

02:15will pull it into the upper abdomen from the pelvis this is the ovaries and this is tube and we will

02:25pull it in the upper abdomen after that here we are putting a trocar with the blunt trocar through

02:31the posterior fornix and they will cut it over this with the harmonic taking care that it should not touch

02:39the metal otherwise your vibrating jaw of harmonic may break and this is the blunt stone holding forcep

02:48and this is the cannula 10 mm port and this 10 mm port we have introduced it through the colpo tommy

02:54wound and now we are putting a fan retractor through this 10 mm port and then this is a endo bag through

03:03the 10 mm port this is a commercially available endo bag size c endo bag and this will open it has a metal

03:12ring and it's a big size endo bag and then you can transfer the this tube and the ovary inside the endo bag

03:33so this is inside the endo bag after that you can close the mouth of endo bag and then pull it and

03:42this is vaginally you will puncture the cyst so that everything will be drained out this is very

03:48important and then it is removed so thank you very much for watching this video have a nice day

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