妊娠中の腹腔鏡下卵巣腫瘍摘出術に対してDiamond-Flex retractorが有用だった一例

概要

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Laparoscopic surgery is often performed to remove ovarian cysts in pregnant women to minimize pain and the length of recovery after surgery. These surgeries are typically performed after 12 weeks of gestation to avoid the risks of anesthesia and surgery on the fetus. Since the uterus is enlarged, the surgical field is smaller. Often, the ovarian cyst is not clearly visible, and it can be difficult to move it from Douglas pouch to the surgical field if the cyst is impacted behind the uterus. In this case, a left ovarian cyst measuring 6 cm in diameter was detected by ultrasonography in a 25-year-old primipara on the 6th gestational week. The ovarian cyst did not decrease in size, so during the 13th gestational week, a laparoscopic ovarian cystectomy was performed. A Diamond-Flex retractor was used to move the ovarian cyst from Douglas pouch to the surgical field during the procedure. The laparoscopic ovarian cystectomy was performed successfully, with no complications.