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Strategy for laparoscopic total hysterectomy and bilateral salpingectomy in case of large uterus

Epublication WebSurg.com, May 2015;15(05). URL: http://websurg.com/doi/vd01en4526

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  • 2015-05-07
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This video demonstrates the case of a 46-year-old patient presented with menorrhagia and anemia. Clinical examination revealed a large mass almost reaching the level of the umbilicus. The uterus appeared much bigger than usual on MRI, with a large myoma coming out of the pelvis. It was decided to perform total laparoscopic hysterectomy combined with bilateral salpingectomy. This video demonstrates the appropriate strategy to safely perform total laparoscopic hysterectomy in case of large uterus, showing the appropriate surgical steps and providing safety tips. The specimen weighed more than 1kg.