title: Transvaginal liver surgery using a tethered magnet and a laparoscopic rein.
abstract: BACKGROUND
  A novel technique was used to remove a large liver cyst via culdolaparoscopy.
  
  
  METHODS
  We used laparoscopic instruments, a gastroscope, a laparoscopic rein, and magnets. The magnets consist of an external magnet and a specially modified tethered neodymium internal magnet, safe for use in transvaginal endoscopic surgery.
  
  
  CONCLUSIONS
  These technologies offer some advantages when they are used together: magnets and the rein to aid in exposure, traction-retraction, and triangulation. Previous reports have been published on the removal of benign liver lesions transvaginally, but none to date has involved the use of magnets. This article reports on the role of magnets and reins in an incision reduction approach to the removal of a liver cyst.
authors.affiliation: The Mount Sinai Hospital of Queens, Long Island City, NY, USA. lasergyn@aol.com
authors.forename: Daniel Alberto
authors.initials: DA
authors.lastname: Tsin
authors.forename: Guillermo
authors.initials: G
authors.lastname: Dominguez
authors.forename: Fausto
authors.initials: F
authors.lastname: Davila
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Alonso-Rivera
authors.forename: Brad
authors.initials: B
authors.lastname: Safro
authors.forename: Andrea
authors.initials: A
authors.lastname: Tinelli
mesh_terms: D000328:Adult; D003560:Cysts / Q000601:surgery*; D013505:Digestive System Surgical Procedures / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation* / Q000379:methods*; D008107:Liver Diseases / Q000601:surgery*; D008280:Magnetics