| March 2009 · Vol. 21, No. 03 SURGICAL TECHNIQUES
Expert tips for adnexal surgery through the laparoscope
Two cases illustrate the many benefits, and some of the risks, of minimally invasive management.
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Fast Track
In premenopausal women, many benign lesions, endometrioma among them, have a similar sonographic appearance to cancer
The disadvantage of open laparoscopy is that there may be extensive adhesions under the umbilicus that are difficult to dissect
Manufacturers of most specimen bags do not recommend morcellation of tissue within the bag because of the potential for rupture of the bag
Metastatic implants in a laparoscopic port site in women who have gynecologic cancer are more likely when there are findings of ascites, carcinomatosis, or persistent disease
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Chad
Michener,
MD;
Dr. Michener is Assistant Professor of Surgery, Section of Gynecologic Oncology, Department of Obstetrics and Gynecology, at the Cleveland Clinic in Cleveland, Ohio. Tommaso
Falcone,
MDDr. Falcone is Professor and Chair of the Obstetrics, Gynecology and Women’s Health Institute at the Cleveland Clinic in Cleveland, Ohio.
The authors report no financial relationships relevant to this article.
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