Single-site laparoscopic management of a large adnexal mass.
BACKGROUND
Single-site laparoscopy is gaining acceptance in many surgical fields including gynecology. The purpose of this report is to demonstrate the technique and outcome for removing a large adnexal mass through a single site.


METHODS
A 41-y-old female was referred to gynecology oncology for increased abdominal girth for 3 mo. An ultrasound confirmed a benign-appearing, 37-cm left adnexal mass. The mass was removed through a single-site laparoscopic incision with the aid of drainage and a morcellator. The operating time was 84 min. The patient was discharged 2 h and 35 min later with full return to normal activity in 5 d.


CONCLUSIONS
Large, benign-appearing adnexal masses can be managed safely with superior cosmetic results using single-site laparoscopy.
Department of Obstetrics and Gynecology, VA Tech Carilion School of Medicine, Roanoke, VA, USA.
Dennis R
DR
Scribner
Eduardo
E
Lara-Torre
Patrice M
PM
Weiss
D000328:Adult; D018293:Cystadenoma, Serous / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010051:Ovarian Neoplasms / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods*; D058994:Salpingectomy / Q000379:methods*