Description

Oophorectomy is the surgical removal of one or both ovaries, commonly performed for conditions such as ovarian cysts, tumors, endometriosis, or as a preventive measure in high-risk patients. Traditionally, this procedure required a full abdominal incision, leading to longer recovery times and increased post-operative discomfort. However, advances in minimally invasive surgery have introduced techniques like Minilap Oophorectomy using the Elegator system, combining safety, precision, and faster recovery. What is Minilap Elegator Technique? The Minilap Elegator approach is a hybrid between conventional open surgery and laparoscopy. It involves a small abdominal incision (usually 2–5 cm), through which specialized instruments are inserted to remove the ovary. This technique is particularly advantageous for patients who are not ideal candidates for full laparoscopy due to previous surgeries, adhesions, or certain medical conditions. Advantages of Minilap Elegator Oophorectomy Minimal Invasive Access: Small incision reduces trauma to the abdominal wall. Faster Recovery: Patients typically experience less pain and return to normal activities sooner than conventional surgery. Reduced Hospital Stay: Many procedures can be performed as day-care surgery or with a short hospital stay. Cosmetic Benefits: Smaller scars are less noticeable and heal faster. Lower Risk of Complications: Reduced blood loss and infection risk compared to traditional open surgery. Procedure Overview Preoperative Preparation: Patient undergoes routine blood tests, imaging (ultrasound or MRI), and anesthesia evaluation. Anesthesia: General or regional anesthesia is administered. Incision & Access: A small 2–5 cm incision is made just above the pubic area. The Minilap Elegator system is used to insert the instruments. Ovary Removal: The affected ovary is carefully dissected and removed through the small incision. Closure: The incision is closed using absorbable sutures for better cosmetic outcomes. Recovery: Patients are usually mobilized within hours, with minimal post-operative pain and quicker return to normal activities. Ideal Candidates Women with benign ovarian cysts or tumors. Patients with endometriosis requiring ovary removal. Individuals needing prophylactic oophorectomy due to high genetic risk for ovarian cancer. Patients where traditional laparoscopy is challenging due to adhesions or prior surgeries. Postoperative Care Mild pain and discomfort are expected, managed with analgesics. Light activities can usually resume within a few days. Follow-up imaging or tests may be advised to ensure complete recovery. Patients are counseled about hormonal changes if both ovaries are removed. Conclusion Oophorectomy with Minilap Elegator is a safe, effective, and patient-friendly alternative to conventional open surgery. It offers the benefits of minimally invasive techniques while allowing surgeons direct access for precise removal of the ovary. With faster recovery, reduced pain, and minimal scarring, it represents a modern standard of care for ovarian surgery.