• The patient is a 28-year-old nulligravid female with a 7-cm simple left ovarian cyst.
  • A laparoscopic ovarian cystectomy was planned. This fertility-preserving, minimally invasive procedure is ideal for pre-menopausal women with a low suspicion of malignancy.
  • An incision is made on the antimesenteric side of the ovary, away from the major ovarian blood supply.Care should also be taken to avoid the tubal fimbria.
  • Traction and countertraction are used to separate the cyst from the surrounding ovarian tissue and enucleate the cyst. Gravity may be used to assist with cyst dissection.
  • Once the cyst is separated, the ovary is inspected for hemostasis. Targeted bipolar energy, suturing, applying an endoloop, or hemostatic agents are different methods for obtaining hemostasis.