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Updated: Oct 11, 2025
Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Laparoscopic Repair of a Colo-Ovarian Fistula
Eung-Mi Lee1, Christine E Foley2, Ted T M Lee1
1From the Department of Obstetrics, Gynecology and Reproductive Sciences, Magee Women's Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Objective:
To demonstrate a laparoscopic approach to managing a colo-ovarian fistula.
Design:
Narrated video outlining surgical technique.
Setting:
Colo-ovarian fistulas are a rare entity with a lack of systematized evidence to guide surgical treatment [1-3]. Available case reports describe open en-bloc resection of the colon and adnexal organs with colorectal anastomosis [3]. We present a case of a colo-ovarian fistula managed laparoscopically with discoid resection of the fistulous tract, a technique used for rectosigmoid endometriosis [4].
Intervention:
A 51-year-old G0 presented with fevers, leukocytosis, and computed tomography imaging showing a peripherally enhancing adnexal complex highly suspicious for tubo-ovarian abscess that was refractory to antibiotics and interventional-radiology guided drainage. The patient elected for definitive surgery with hysterectomy, bilateral salpingo-oophorectomy, and indicated procedures.
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