This video demonstrates Oophorectomy using the Minilap Elegator at World Laparoscopy Hospital, highlighting advanced minimally invasive surgical techniques, precision dissection, and safe tissue handling.

Left Sided Oophorectomy for Ovarian cyst in a 52-year-old female by the help of Striker Mini lap Elegator and Colpotomy for Extraction of Ovarian Cyst.

Oophorectomy, the surgical removal of one or both ovaries, is a commonly performed gynecological procedure indicated for ovarian cysts, tumors, endometriosis, torsion, tubo-ovarian abscess, and as a prophylactic measure in high-risk patients. With the advancement of minimally invasive surgery, laparoscopic oophorectomy has become the gold standard due to reduced postoperative pain, faster recovery, minimal scarring, and early return to daily activities. At World Laparoscopy Hospital, the procedure is further refined using the innovative Minilap Elegator technique, enhancing surgical precision and cosmetic outcomes.

Concept of Minilap Elegator

The Minilap Elegator is a specialized minimally invasive instrument designed to facilitate tissue manipulation and retrieval through very small incisions. Unlike conventional 5 mm or 10 mm ports, the Minilap system utilizes ultra-small access points, significantly reducing tissue trauma. It combines the benefits of percutaneous entry with secure tissue grasping, allowing effective ovarian handling without additional trocar placement.

This technique represents a step forward in “micro-laparoscopy,” where smaller incisions translate into superior cosmetic results and reduced postoperative discomfort.

Surgical Technique

At World Laparoscopy Hospital, oophorectomy with Minilap Elegator follows a structured and standardized protocol:

1. Patient Positioning and Anesthesia
   The patient is placed in the lithotomy position under general anesthesia. Proper padding and positioning ensure optimal pelvic access.

2. Port Placement
   A primary 10 mm umbilical port is inserted for the laparoscope. One or two auxiliary 5 mm ports may be placed depending on the case. The Minilap Elegator is introduced percutaneously without the need for a traditional trocar.

3. Identification of Anatomy
   The ovary, fallopian tube, infundibulopelvic ligament, and surrounding structures such as the ureter are carefully identified to avoid injury.

4. Securing the Pedicle
   The infundibulopelvic ligament containing the ovarian vessels is coagulated and divided using advanced bipolar or energy devices. In selected cases, the utero-ovarian ligament is similarly managed.

5. Use of Minilap Elegator
   The Minilap Elegator provides stable traction of the ovary, allowing precise dissection and safe pedicle control. It enhances exposure and reduces the need for additional ports.

6. Specimen Retrieval
   The ovary is placed in an endobag and removed through the umbilical port. Hemostasis is confirmed before desufflation and closure.

Advantages of the Minilap Technique

The Minilap Elegator technique offers multiple benefits:

• Minimal Scar Formation – Almost invisible puncture sites improve cosmetic satisfaction.

• Reduced Postoperative Pain – Smaller incisions mean less tissue trauma.

• Enhanced Surgical Precision – Stable traction improves visualization and safety.

• Short Hospital Stay – Many patients are discharged within 24 hours.

• Faster Recovery – Early mobilization and return to routine activities.