Total laparoscopic hysterectomy for uteri over one kilogram

Abstract

Introduction: Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri 1 kg in weight. Materials and Methods: An intent-to-treat study. Results: From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing 1000 g. Four patients had total abdominal hysterectomy, one patient had laparoscopically assisted vaginal hysterectomy, and 8 patients had total laparoscopic hysterectomy. The last 6 cases were total laparoscopic hysterectomy cases. Conclusion: With experience and specialized techniques, total laparoscopic hysterectomy can replace abdominal hysterectomy for large uteri. © 2010 by JSLS.