K Hua

Hand-Assist Laparoscopic Surgery (HALS) for Giant Ovarian Cysts

distortion of the anatomy of the vital neighbouring structures in the pelvic cavity. We present a series of videos to demonstrate the laparoscopic approach employed for myomectomy in various complex and unusual cases such as multiple myomas, large submucous myomas, cervical myomas, broad ligament myomas, and ligamentary myomas. Laparoscopic myomectomy was performed to remove all myomas, irrespective of their site, size and number. None of the cases required conversion to laparotomy. Therefore, myomas at precarious and unusual sites can be safely and effectively managed by laparoscopy, provided the surgeon is experienced and has thorough understanding of the surgical anatomy.