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Ovariectomy hooks are used during laparoscopic ovariectomy and ovariohysterectomy to suspend the ovary against the body wall to facilitate ligation and transection of the ovarian pedicle (ssss1). Ovariectomy hooks are placed percutaneously to capture the ovary and proper ligament within the curve of the hook. They have a heavy, T‐shaped handle to facilitate retraction and to prevent rotation of the hook after being placed. The heavy handle allows positioning of the instrument without an assistant, and the small puncture that is created does not need to be closed. Both small and large ovariectomy hooks are available to accommodate patient size. A straight‐handled hook may be used in some clinics but is no longer manufactured. When ovariectomy hooks are not available, a large diameter suture on a large needle (i.e., 0 polypropylene on a CT‐26 or CT‐40 swaged needle) can be used to capture and retract the ovary in the same manner.

ssss1 An ovariectomy hook with a T‐shaped handle.

Source: © 2014 Photo courtesy of KARL STORZ SE & CO, KG.