LAUSR

Video Objective This video describes a simple method for ovarian approximation and hemostasis following cystectomy. Setting A 31 year old patient with 1 year history of LLQ pelvic pain, deep dyspareunia and nausea. She has had a simple left ovarian cyst that was managed conservatively for several years, but recently increased in size. Ultrasound showed a large cyst in the midline measuring 9.2 × 6.3 × 9.1 cm. Laparoscopy showed a large 10 cm left ovarian mass that is cystic with serous fluid. A laparoscopic cystectomy was performed. Interventions A laparoscopic cystectomy was performed with ovarian approximation and hemostasis with polysorb endoloops. Conclusion This video demonstrates a simple and efficient method for approximating the ovarian tissue after large cystectomy, that provides adequate hemostasis without excessive thermal damage to the ovarian tissue, as well as potentially minimizing the risk of postoperative adhesions.