LAUSR

STUDY OBJECTIVE Laparoscopic cystectomy for endometrioma has the advantages of a minimally invasive approach. The standardization and description of the technique are the main objectives of this video. We described the surgery in 10 steps, which could help to make this procedure easier and safer. DESIGN Step-by-step video demonstration of the technique SETTING: A French university tertiary care hospital. INTERVENTION Two standardized laparoscopic cystectomy were recorded to realize the video. The local institutional review board ruled that approval was not required for this video article because the video describes a technique and does not report a clinical case. This video presents a systematic approach to cystectomy for endometrioma clearly divided into 10 steps: (1) preoperative evaluation1; (2) diagnosis and exploration2; (3) adhesiolysis, mobilization of the ovary; (4) cyst rupture, exposition of the entry site; (5) identification of the cleavage plan; (6) endometrioma easy dissection; (7) endometrioma difficult dissection; (8) hemostasis, reconstruction of the ovary3; (9) exploration of the ovarian fossa; (10) washing, extraction of the cyst.3,4 CONCLUSION: Standardization of laparoscopic cystectomy for endometrioma could make this procedure easier and safer to perform. The 10 steps presented help to perform each part of surgery in logical sequence making the procedure easier to realize. Moreover, the standardization of the surgical techniques may reduce the learning curve.