Mechanical morcellation of a solid ovarian mass in a pneumo-bag

Objectives: We present a case of a 32-year-old patient who previously underwent simple hysterectomy and bilateral pelvic sentinel lymph node biopsy for epidermoid carcinoma of the cervix. Pathology showed a 5-mm residual tumor at the cervix and the patient was referred for laparoscopic radical nerve-sparing parametrectomy and bilateral pelvic lymphadenectomy. Methods: This video shows the complete technique of the surgery, including patient and team positioning, trocar placement, and step-bystep dissection of planes, vessels, nerves, and other pelvic structures. Snapshots of the surgery with all relevant anatomic structures identified are shown during the video. Conclusions: This didactic surgical film demonstrates that parametrectomy, when systematically performed, is a reliable procedure with minimal complications.