Gasless laparoscopic cystectomy was performed for a woman in the fifteenth week of pregnancy. An ovarian cyst that had been sinking behind the uterus appeared spontaneously after ballooning the metreurynter in the pouch of Douglas. This allowed extraperitoneal cystectomy, and the patient's subsequent antenatal course was uneventful. Cul-de-sac packing with a metreurynter permits gentle and atraumatic manipulation against the pregnant uterus.
Murakami, T., Noda, T., Okamura, C., Terada, Y., Morito, Y., & Okamura, K. (2003). Cul-de-sac packing with a metreurynter in gasless laparoscopic cystectomy during pregnancy. Journal of the American Association of Gynecologic Laparoscopists, 10(3), 421–423. https://doi.org/10.1016/S1074-3804(05)60278-2