Case Description
  • The patient is a 40 year old female, with a known BRCA1 mutation, presenting for prophylactic laparoscopic bilateral salpingio-oophrectomy (BSO).
  • The main 10mm camera port was placed at the umbilicus. Two 5-mm accessory ports were placed on the right side and one on the left lower quadrant.
  • The initial step is identifying the right ureter.
  • Next, the round ligament, infundibulopelvic ligament (IP), and external iliac vessels will be identified in order to delineate the avascular triangle on the right.
  • A window is made in the avascular triangle in order to isolate the infundibulopelvic ligament (IP) away from the ureter.
  • The utero-ovarian ligaments, proximal fallopian tubes, and infundibulopelvic ligaments (IP) will be divided on both sides.
  • The same procedure is repeated on the left side.
  • The specimens will be extracted through the umbilical port.