Advanced techniques in cystectomy for mature cystic teratomas

Brought to you by the Society of Gynecologic Surgeons. In this video, the surgeons offer 3 techniques to improve the efficiency and safety of laparoscopic ovarian cystectomy. They suggest manipulating the cyst entirely with a specimen removal bag. A rolling technique is used to dissect the ovarian tissue off the cyst in a more controlled manner than simple traction/countertraction. With very large cysts, a trocar is inserted into the cyst to allow for fluid removal, insufflation, and visualization of the inside of the cyst with a camera. Two case studies illustrate these techniques.