Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Apr-Jun;14(2):178-82.
doi: 10.4293/108680810X12785289143837.

Total laparoscopic hysterectomy for uteri over one kilogram

M Sami Walid  1 , Richard L Heaton
Affiliations

Total laparoscopic hysterectomy for uteri over one kilogram

M Sami Walid et al. JSLS. 2010 Apr-Jun.

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.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Operative time and resected mass correlation (TLH cases only).
Figure 2.
Figure 2.
Estimated blood loss and resected mass correlation (TLH cases only).
See this image and copyright information in PMC

References

    1. Cramer SF, Patel A. The frequency of uterine leiomyomas. Am J Clin Pathol. 1990;94(4):435–438 - PubMed
    1. Kjerulff KH, Lanagenberg P, Seidman JD, Stolley PD, Guziniski GM. Uterine leiomyomas. Racial differences in severity, symptoms and age at diagnosis. J Reprod Med. 1996;41(7):483–490 - PubMed
    1. Marshall LM, Spiegelman D, Barbieri RL, et al. Variation in the incidence of uterine leiomyoma among premenopausal women by age and race. Obstet Gynecol. 1997;90(6):967–973 - PubMed
    1. Day Baird D, Dunson DB, Hill MC, Cousins D, Schectman JM. High cumulative incidence of uterine leiomyoma in black and white women: ultrasound evidence. Am J Obstet Gynecol. 2003;188(1):100–107 - PubMed
    1. Flynn M, Jamison M, Datta S, Myers E. Health care resource use for uterine fibroid tumors in the United States. Am J Obstet Gynecol. 2006;195(4):955–964 - PubMed

LinkOut - more resources