Laparoscopy & Cystectomy for Ovarian Cyst & Endometriosis

Symptoms

A 33 year old woman presented with primary infertility.

Diagnosis

A pelvic USS revealed a bilobed right ovarian cyst (57mm and 82mm). There was minimal ovarian tissue seen separate to the large cyst.

Procedure

A laparoscopic right ovarian cystectomy was performed and the pathology revealed dermoid cysts. Normal right ovarian tissue was preserved. Endometriosis of the Left Utero-sacral ligament was excised.

Outcome

She subsequently conceived spontaneously.

Laparoscopic view of large right ovarian cyst. The endometriosis is seen as a black pigmented area.

Laparoscopic view of the large right ovarian cyst.

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Large bilobed right ovarian cyst.

The cyst is stripped out and normal ovarian tissue is preserved.

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The endometriosis of the left Utero-sacral ligament is excised.

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The pelvic at the end of the procedure. Ongoing re-modelling of the right ovarian tissue will occur over the next 4 weeks.