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Updated: Jul 29, 2026

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Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
[Salpingo-oophorectomy by laparoendoscopic single-site surgery for everybody]
L de Poncheville1, A Smirnoff2, J Ménard1
1Clinique du Mail, 96, allée du Mail, 17000 La Rochelle, France.
Gynecologie, Obstetrique & Fertilite
|August 29, 2014
Summary
This study presents a standardized technique for laparoendoscopic single-site adnexectomy using conventional instruments. The procedure is safe, effective, and easily reproducible for gynecologic surgeons.
Area of Science:
- Minimally Invasive Gynecologic Surgery
- Laparoscopic Surgery Techniques
- Surgical Standardization
Context:
- Adnexectomy is a common gynecologic procedure.
- Conventional laparoscopy is widely used, but single-site surgery offers potential cosmetic and recovery benefits.
- Standardizing techniques is crucial for widespread adoption of new surgical approaches.
Purpose:
- To standardize and evaluate the technique of adnexectomy using laparoendoscopic single-site surgery (LSS) with conventional laparoscopic instruments.
- To assess the feasibility, safety, and reproducibility of this standardized LSS adnexectomy procedure.
- To provide a step-by-step guide for gynecologic surgeons to adopt LSS adnexectomy.
Summary:
- A prospective study included patients undergoing adnexectomy between June 2010 and January 2014.
- The study details a standardized step-by-step technique for LSS adnexectomy using conventional instruments.
- Results showed 42 bilateral and 16 single salpingo-oophorectomies with an average operative time of 45 minutes, negligible blood loss, no laparoconversions, and minimal complications.
Impact:
- Laparoscopic single-site surgery (LSS) with conventional instruments is a reproducible and advantageous approach for adnexectomy.
- The standardized technique facilitates adoption by a broader range of gynecologic surgeons.
- This method offers potential benefits for patients undergoing adnexectomy, contributing to advancements in minimally invasive gynecologic surgery.

