Laparoscopy
In laparoscopic surgeyr, the patient was taken to the operating room, placed in supine position, where her anesthetic was induced. Legs were positioned in low Allen stirrups. She was prepped and draped in usual aseptic fashion. She was in and out catheterized. Sponge stick was placed into the vagina and used for retraction. A 5-mm infraumbilical skin incision was made and the Veress needle was advanced where intraperitoneal placement was confirmed with the water drop test. The abdomen was then insufflated with approximately 2.5 L of carbon dioxide gas. The Veress needle was then removed and a 5-mm trocar and sleeve was gently advanced into the abdomen where intraperitoneal placement was confirmed with the laparoscope. The patient was placed in a fair amount of Trendelenburg. We were still unable to visualize pelvis, so we opted to place the suprapubic port. This was done under direct vision via a 5-mm skin incision, utilizing a 5-mm trocar and sleeve, which was advanced into the ab...