Skin-to-Skin Laparoscopic Ovarian Cystectomy with Hysteroscopy & Tubal Patency



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Watch a comprehensive Skin-to-Skin Laparoscopic Ovarian Cystectomy combined with Hysteroscopy and Tubal Patency Test performed by Prof. Dr. R. K. Mishra at World Laparoscopy Hospital. This educational surgical video demonstrates the complete management of an ovarian cyst in a patient undergoing fertility evaluation using advanced minimally invasive techniques. The procedure begins with careful laparoscopic entry and systematic pelvic inspection. The ovarian cyst is thoroughly evaluated, and meticulous ovarian cystectomy is performed with emphasis on preserving healthy ovarian tissue and maintaining future reproductive potential. Every step of the dissection highlights gentle tissue handling, precise hemostasis, and adherence to sound surgical principles to minimize trauma and postoperative adhesions. Following cyst removal, hysteroscopy is performed to assess the uterine cavity for abnormalities such as endometrial polyps, submucous fibroids, uterine septum, intrauterine adhesions, or congenital anomalies that may affect fertility or implantation. The procedure provides direct visualization of the endometrial cavity, enabling accurate diagnosis and appropriate management when required. A chromopertubation (Tubal Patency Test) is then carried out using methylene blue dye to evaluate bilateral fallopian tube patency. Confirmation of free spill through both tubes provides valuable information in the assessment of female infertility and guides future reproductive planning. Combining laparoscopy with hysteroscopy in a single sitting offers a complete evaluation of both pelvic anatomy and the uterine cavity while avoiding multiple anesthetic exposures. This video is intended for surgeons, gynecologists, residents, fellows, and medical students interested in advanced laparoscopic gynecologic surgery. It demonstrates essential operative principles including atraumatic dissection, ovarian preservation, identification of normal pelvic anatomy, safe use of laparoscopic energy devices, irrigation, specimen retrieval, and meticulous closure techniques. The "skin-to-skin" format allows viewers to observe the entire operation from patient preparation through final wound closure, providing an authentic operating room learning experience. World Laparoscopy Hospital is internationally recognized for excellence in laparoscopic and robotic surgery education, having trained thousands of surgeons and gynecologists from more than 108 countries. Through high-definition operative videos, live surgical workshops, and structured fellowship programs, the institute continues to promote safe, evidence-based minimally invasive surgery worldwide. If you are interested in mastering advanced laparoscopic gynecologic procedures, ovarian cystectomy, fertility surgery, hysteroscopy, robotic surgery, or minimal access surgical techniques, subscribe to the World Laparoscopy Hospital channel for regular educational videos, operative demonstrations, and expert surgical lectures by Prof. Dr. R. K. Mishra.