Abstract

We report a successful case of laparo-endoscopic single site total hysterectomy and bilateral salpingo-oophorectomy (LESS THBSO) using conventional laparoscopic instruments for a large ovarian cyst in a morbidly obese woman. A 58-year-old female with a BMI of 46kg/m2 complaint of abdominal distension. A pelvic ultrasound revealed a left ovarian cyst measuring 21.3 x 15.2 x 20.8 cm. The IOTA score is 3.5% and the RMI score was 51, suggesting a benign pathology. LESS THBSO was performed and the final histology was a benign ovarian mucinous cystadenoma. The patient recovered well with no postoperative complications. This case demonstrates that LESS is feasible for large ovarian cysts even in morbidly obese patients when appropriate cases are selected and when the patient is managed in a multi-disciplinary team.

Keywords: Gynaecologic Surgery, Hysterectomy, Minimally Invasive Surgery, Morbid Obesity, Ovarian Cysts

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How to Cite
Goh, W.-A., Tan, E. M., & Nadarajah (MRCOG), R. (2021). Laparo-endoscopic Approach for Large Ovarian Cyst in the Morbidly Obese: Case Report. International Journal of Innovative Research in Medical Science, 6(11), 821–823. https://doi.org/10.23958/ijirms/vol06-i11/1268

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Copyright © 2021 Wei-An Goh Eunice MX Tan Ravichandran Nadarajah (MRCOG) this is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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This work is licensed under a Creative Commons Attribution 4.0 International License.