Most ovarian abnormalities can be managed laparoscopically. The first laparoscopic salpingo-oophorectomy was performed by Semm in 1984. He reported his experience with a laparoscopic approach to oophorectomy and salpingooophorectomy. The ovaries are seen clearly by laparoscope because of their whiteness and knobby texture. It is seen more clearly if a uterine manipulator is used and the uterus is pushed towards the anterior abdominal wall. Ovaries hang own in the laparoscopic field. A normal ovary is almond-shaped, and approximately 3cm in its greatest diameter.
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