ABSTRACT
In the case of enucleation of an ovarian cyst, it is very important to remove the cyst or the ovary without rupture and spillage of the cystic contents, especially in the case of suspicious findings. Conventional surgical methods, which are very easy to apply using lift (gasless)-laparoscopy, avoid spillage. Blunt dissection with a sponge and countertraction with a conventional forceps allow a surgical technique that makes it possible to avoid spillage in most ovarian tumors. Even if there is a microrupture, it is easy to continue surgery as one is able to grasp the rupture site with a long forceps longitudinally and continue the procedure of enucleation, or apply a ligature over the ruptured cyst capsule. In liftlaparoscopy the removal of tissue specimens is less problematic as there is no interaction with gas leakage, and the endobag can be grasped and opened with conventional curved instruments, allowing the bag to be held open around the instruments. Closure of the ovarian capsule is performed with conventional suture material and a curved needle and conventional needle driver.
