After complete hemostasis and sectioning of the left ovarian artery and vein, animals were repositioned in a supine recumbent position and the area close to the suspensory ovarian ligament
was grasped using the Kelly forceps.
Superior to this attachment, it is called ovarian ligament
which prevents ovarian descent into the inguinal canal and inferior to the attachment, it is the round ligament of uterus.
A 10 mm laparoscope was inserted via primary sub umbilical trocar, with two additional 5 mm ports, a grasping forceps were used to hold the ovarian ligament
for manipulation of the ovaries.
The ovary must be connected to the uterus by the ovarian ligament
The ovary and the gestational sac have to be connected to the uterine ovarian ligament
A silastic band was applied to the right ovarian ligament, not the right fallopian tube.
PATIENT'S claim The gynecologist banded the ovarian ligament instead of the fallopian tube.
In patients who desired to preserve the adnexa, the fallopian tube and ovarian ligament
were transected, whereas in those who preferred a salpingo-oophorectomy, the infundibulo-pelvic ligaments were isolated, ligated and transected.
Spigelberg criteria is essential for the diagnosis and is as follows: (a) intact fallopian tube on the affected side, (b) fetal sac must occupy the position of the ovary on the affected side, (c) ovary connected to the uterus by ovarian ligament
, (d) ovarian tissue must be located in the sac wall, confirmed by histopathology (7).
The standard TVH technique involves clamping and ligature of the uterosacral/cardinal ligaments, uterine vessels, and the broad ligament, including the round and ovarian ligaments