LAUSR

Video Objective To demonstrate minimally invasive surgical techniques that can be employed for temporary suspension of pelvic anatomy, specifically the ovaries, for improved visualization during complex laparoscopic pelvic surgery. Setting Operating room. Interventions Suboptimal visualization of the pelvis during laparoscopic surgery can arise from normal anatomic structures blocking clear line of sight of the laparoscope or due to comorbid conditions that limit trendelenburg each of which can negatively impact surgical efficiency. This instructional video demonstrates techniques of oophoropexy to facilitate better visualization of pelvic anatomy, and aid in retroperitoneal dissection. These techniques can replace the need for additional ports and allow surgical assistants to perform other more active tasks than retracting. Conclusion The techniques demonstrated already exist within the skill set of most laparoscopically trained gynecological surgeons. Employing these simple techniques can increase efficiency, replace need for additional laparoscopic ports, and allow surgical assistants to perform alternative tasks besides anatomical retraction to improve the safety of and operator comfort completing complex pelvic surgery, and well as provide physical space following a dissection to avoid adhesion formation.