Fig. 5

LESS surgical skills in ovarian cystectomy and myomectomy. A.B. Grasp the edge of the ovarian cortex by the left hand, seek a suitable angle to suture, or coagulate the remaining ovarian cortex by the right hand. Blunt separating the cyst from the ovarian cortex precisely with proper power. C.D. Ovarian cystectomy on patient with cystic teratoma of ovary accompanied with pregnancy at 18 gestational weeks. C. The ovarian cyst was grasped with two dissecting forceps, and the first surgeon should overcome the “chopstick effect”. D. Separation of the cystic cortex from the normal ovary by two dissecting forceps must be done very gently to avoid touching the uterus. E.F. Myomectomy of a patient with uterine leiomyoma. E. Surgeon A held the needle with the needle holder by the right hand and dissecting forceps with the left hand to keep the right position. The needle holder should be placed 2/3 near the end of the needle at a 90-degree angle to the needle. F. When suturing, the needle holder with the needle entered from one edge of the retracting myometrium to the opposite side, and the dissecting forceps clamped the opposite side of the incision edge to fix the uterus