Surgery for tumors and cysts of the uterine adnexa
Surgical interventions on the uterine adnexa were among the earliest procedures widely adopted via laparoscopy, primarily due to direct anatomical access. However, in the presence of severe pelvic adhesions, large tumor dimensions, or deeply infiltrating endometriosis, these operations can become technically challenging. Adnexal surgery for endometriosis and surgical management of ectopic pregnancy are detailed in dedicated sections.
This page presents diverse clinical cases involving laparoscopic management of ovarian and adnexal pathology.
Laparoscopic cystectomy of an ovarian dermoid cyst (mature teratoma)
Laparoscopic removal of a giant ovarian serous cystadenoma
To isolate the giant cyst completely from the peritoneal cavity and prevent intra-abdominal rupture and spill-over of cyst contents, a custom endobag retrieval pouch was utilized intraoperatively.
Year: 2021 Giant ovarian dermoid cyst with multiple mature teeth
A dermoid cyst (mature cystic teratoma) is a benign ovarian germ cell tumor containing sebaceous material, hair, skin fragments, and occasionally dental structures. A young female patient presented with a 13 cm ovarian dermoid cyst. Laparoscopic cystectomy revealed abundant sebaceous contents and a jaw bone fragment bearing 13 fully formed teeth.
Adnexal torsion requiring right unilateral salpingo-oophorectomy (adnexectomy)
