Large uterus: what is the limit for a laparoscopic approach?

Authors

  • Beatriz H. Kehde Santa Casa de Misericórdia de São Paulo. Department of Obstetrics and Gynecology - Endoscopic Training Centre – Antwerp – Belgium
  • Bruno J. van Herendael Endoscopic Training Centre – Antwerp – Belgium - Sint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA Stuivenberg
  • Benedictus Tas Sint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA Stuivenberg
  • Deepika Jain Endoscopic Training Centre – Antwerp – Belgium - Anand Hospital, Beawar/Rajasthan. Department of Obstetrics and Gynecology
  • Karine Helsen Sint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA Stuivenberg
  • Lisbeth Jochems Sint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA Stuivenberg

DOI:

https://doi.org/10.4322/acr.2016.025

Keywords:

Hysterectomy, Vaginal, Uterus, Leiomyoma

Abstract

Hysterectomy is the most common surgical gynecologic procedure, which is frequently related to the treatment of leiomyoma. The laparoscopic hysterectomy is associated with a shorter hospital stay, fewer infection rates, and a faster return to daily activities. Most gynecologists do not recommend a hysterectomy via the vagina or a laparoscopic-assisted vaginal hysterectomy (LAVH) in the case of a uterus weighing more than 300 g. This case report presents the case of an LAVH undertaken in a 43-year-old patient with a uterus weighing 2,800 g. There are no definite guidelines concerning the procedure for a large uterus, and the literature is vague regarding the best surgical procedure for these cases. The size of the uterus does not seem to be an absolute contraindication for endoscopic surgery. This procedure relies entirely on the surgeon’s ability

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Published

2016-03-10

Issue

Vol. 6 No. 1 (2016)

Section

Article / Clinical Case Report

License

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Kehde, B. H., van Herendael, B. J., Tas, B., Jain, D., Helsen, K., & Jochems, L. (2016). Large uterus: what is the limit for a laparoscopic approach?. Autopsy and Case Reports, 6(1), 51-56. https://doi.org/10.4322/acr.2016.025