Page 63 - World Journal of Laparoscopic Surgery
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A Laparoscopic Approach of a Very Large Ovarian Cyst in Young Female
Figs 1A to C: Large tubo-ovarian cystic mass arising from the right side of pelvis occupying almost whole abdomen
After creating pneumoperitoneum and inserting three accessory Adhesions present between the cystic wall and right side of
ports, the cyst was deliberately punctured and approximately 5 L bowel loops and rectum. The cystic wall is densely adherent to the
cystic fluid drained after breaking internal septations; sample send urinary bladder and to the uterus. Very hard to find a plane between
for cytological analysis (Figs 2 to 5). the urinary bladder and cystic wall. To make the plane visible urinary
World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022) 61
