Mesial side ovarian incision for laparoscopic dermoid cystectomy: a safe and ovarian tissue-preserving technique Michele Morelli, M.D., Ph.D., Rita Mocciaro,

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Presentation transcript:

Mesial side ovarian incision for laparoscopic dermoid cystectomy: a safe and ovarian tissue-preserving technique Michele Morelli, M.D., Ph.D., Rita Mocciaro, M.D., Roberta Venturella, M.D., Alberto Imperatore, M.D., Ph.D., Daniela Lico, M.D., Fulvio Zullo, M.D., Ph.D. Fertility and Sterility Volume 98, Issue 5, Pages 1336-1340.e1 (November 2012) DOI: 10.1016/j.fertnstert.2012.07.1112 Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A and B) In the study group, the ovarian capsule is grasped by two Manhes forceps on the mesial side, defined as the anterior, hilar margin of the ovary, where the tubal fimbria is closely applied to the tubal pole of the ovary. (C) The capsule is then incised by scissors. (D) Cyst enucleation is completed by atraumatic dissection; by suspending the whole ovary from its mesial side, the dermoid enucleation is enhanced, thanks to gravity and the weight of the cyst itself. Fertility and Sterility 2012 98, 1336-1340.e1DOI: (10.1016/j.fertnstert.2012.07.1112) Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions

Figure 2 In the control group, the ovarian capsule is incised by forceps on the antimesial side. Fertility and Sterility 2012 98, 1336-1340.e1DOI: (10.1016/j.fertnstert.2012.07.1112) Copyright © 2012 American Society for Reproductive Medicine Terms and Conditions