Design: Video presentation of surgical techniques.

Setting: Cedars-Sinai Medical Center operating room.

Patients or Participants: This video includes multiple patient examples of surgical steps performed to complete a dermoid cystectomy.

Interventions: We review suggestions for port placement and type, as well as hemostasis options to optimize surgical field visualization and maintain ovarian reserve. Then in detail, recommendations for initial incision location are shown as well as stepwise strategies for removing the cyst intact. Finally, suture repair of the ovary for hemostasis and ovarian closure is reviewed.

Measurements and Main Results: Dermoid cystectomies performed in this video were successfully completed without complication. This video can serve as a resource for successful completion of a dermoid cystectomy.

Conclusion: Laparoscopic cystectomy, especially for larger dermoids, has a higher risk of cyst rupture compared to laparotomy. If this occurs operative times increase in order to account for the adequate removal of cyst contents from the abdomen. In this video we highlight techniques to reduce that unintended complication.