PubMed · 6557699
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C Evans, P Shapiro. 1983. Gynecologic microsurgery.. https://pubmed.ncbi.nlm.nih.gov/6557699/
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Four women underwent transvaginal endoscopic oophorectomy during vaginal hysterectomy. The adnexa were visualized with a laparoscope inserted into the upper vagina. Bilateral salpingo-oophorectomy or oophorectomy was carried out with standard laparoscopic instruments introduced through the vagina without a pneumoperitoneum; Endoloop sutures and bipolar electrocoagulation were used for hemostasis.