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2022-VA-578-ESGO Transvaginal single port laparoscopic for left ovarian cyst removal and bilateral tubal anastomosis
  1. Ling Min and
  2. Lin Chen
  1. Obstetrics and Gynecology, West China Second Hospital of SChuan University, ChenDu,SChuan, China


Introduction/Background With the opening of China’s fertility policy, more and more ‘Single Child Families’ have the need to have children again.However, China’s ‘Family planning’ has been carried out for decades. Under the influence of this policy, many women will choose to have their fallopian tubes ligated to avoid the risk of accidental pregnancy after they have given birth to a child. For these women, it is particularly important to restore the normal function of their fallopian tubes.The patient in this video was found to have a left ovarian cyst (50×48×60 mm) during regular physical examination, and she had a need to have a second child, so the indications for surgery were clear.In addition, the patient is a model, and she hopes that there is no scar on her abdomen. After detailed communication, transvaginal single port laparoscopic technique is proposed to complete the operation.

Methodology Transvaginal single port laparoscopic for left ovarian cyst removal and bilateral tubal anastomosis.

Results The operation was smooth and the fallopian tube anastomosis was successful.The operation took 90 minutes and the blood loss was about 15 ml. The patient aerofluxused and urinated 4 hours after operation, and was discharged on the third day after operation. There were no surgical complications.Pathological diagnosis of left ovarian cyst:mature cystic teratomas of the ovary.The patient was reexamined three months after operation:TVS: No abnormality was observed in uterus and bilateral appendages.HSG: Contrast agent was found in both oviduct and diffused in pelvic cavity.

Conclusion Transvaginal single port laparoscopic surgery fully embodies the concept of ‘transvaginal natural passage’, which is more minimally invasive, effective and safe than traditional laparoscopic surgery. On the premise of strictly mastering the indications, it can be used for micro non-invasive surgical treatment of gynecological diseases.

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