B/L Chocolate Cyst

DIGNOSIS :- B/L CHOCOLATE CYST TREATMENT (PLAN OF SURGERY ) :- DLS DLS done under general anaesthesia given by Dr. Amit and done by Dr. Pravin Kanani. LAPROSCOPY: - 10/5 MM primary trocher insersion done. - 3 5mm secondary trocher insersion done under guidance of primary trocher. - Adhesion seen & adhesiolysis done with scissor . - Uterus :- Absent. - POD :- Free - Right tube :- Apperance -Congested ; Adherent with Ovary & Lateral Pelvic Wall. - Left tube :- Apperance - Congested ; Adherent With Ovary & Lateral Pelvic Wall. - Right ovary :- Size - Enlagre ; Apperance -Congested. - Left ovary :-Size - Enlagre ; Apperance -Congested . OPERATIVE NOTE :- - B/L Chocolate Cyst Seen . - Chocolate Cyst Adherent With Omentum, Large Intestine , Small Intestine ,Lateral Pelvic Wall , Right Ureter, Inter Loop Adhesion Seen & Adhesiolysis Done. - Small Intestine Adhesion Seen & Adhesiolysis Done by Sharp Dissection . - Cyst Material Remove Through Suction. - Cyst Wall Separate & Remove Through Tenaculum. - B/L Oophorectomy Done. - B/L Salpingectomy Done. - Specimen Send For HPE. - Drain Kept. Advice : - Inj, Lupride For 3 Month , At 1 Month Interval.