Gynecologic Endoscopic Atlas

Fibroids
Small Subserous Fibroid
Subserous Fibroid in Posterior Wall of Uterus
Myomectomy in Progress
Submucous Fibroid
Submucous Fibroid Filling up Uterine Cavity
Large Pedunculate Fibroid
Broad Ligament Fibroid

Endometriosis
Ovarian Endometriosis
Endometriotic deposits on Right Diaphragm
Ovarian endometriosis with endometriotic adhesions between ovary and sigmoid colon
Endometriotic Deposits on Uterovesicle Fold
Endometriosis involving appendix
Endometriosis over left uterosacral ligament

Hysteroscopic Resection of Submucous Fibroid
Loop positioned to reset submucous fibroid
Loop in process of resecting Fibroid. Note sparking at 3 o'clock
Groove in Fibroid following passage of loop

Adhesions
Filmy adhesions obliterating the pouch of Douglas
Adhesiolysis in progress - Sharp Dissection
Right ovary adherent to anterior abdominal wall - post appendicectomy

Fimbrial Cyst
Torsion of Right Fimbrial Cyst - Cause of Pain
Fimbrial Cyst following correction of torsion

Normal View
Pelvis
Stomach and Liver
Appendix
Uterosacral Ligament

Laparoscopic Linear Salphingostomy for Tubal Pregnancy.
1) View through laparoscope of unruptured ectopic pregnancy in the left tube.
2) Injection of pitressin 0.1% into mesenteric border of fallopian tube.
3) Incision being made over over site of ectopic with a monopolar point diathermy. Carbon dioxide, NdYAG and KTP lasers have been offered as alternative energy sources.
4) Products of conception extruding through incision made.
5) Removal of product of conception.
6) Irrigation of fallopian tube with normal saline and checking to ensure that hemostasis is secured.
7) Close-up view of tube after defect is closed with fine (50) PDS.