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JSLS. 2010 Oct-Dec;14(4):600-2. doi: 10.4293/108680810X12924466008169.

Safe laparoscopic removal of a 3200 gram fibroid uterus.

Author information

1
Arizona Regional Medical Center, Mesa, Arizona, USA. mdzc@comcast.net

Abstract

BACKGROUND AND OBJECTIVES:

Hysterectomy using minimally invasive techniques yields fewer complications, less blood loss, and quicker recovery time compared with traditional abdominal hysterectomy. Despite these advantages, 65% of all hysterectomies in the United States are still performed using traditional laparotomy, and many clinicians still exclude patients with a history of prior abdominal surgery, significant obesity, or a large fibroid uterus from these procedures. Among physicians skilled in minimally invasive surgery, the prior largest uteri removed included a 2421g uterus removed vaginally, and a 2418g uterus removed via hand-assisted laparoscopic hysterectomy.

METHODS:

We performed a laparoscopic-assisted hysterectomy on a significantly obese 50-year-old woman with a 3200g uterus. The patient required a 2-day hospital stay and recovered unremarkably. The patient was able to return to work within one week and quickly returned to activities of daily life.

CONCLUSION:

In the hands of experienced minimally invasive surgeons, laparotomy can be avoided in almost all instances of hysterectomy for benign disease.

PMID:
21605532
PMCID:
PMC3083059
DOI:
10.4293/108680810X12924466008169
[Indexed for MEDLINE]
Free PMC Article

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