Journal of Gynecological Endoscopy and Surgery
Journal of Gynecological Endoscopy and Surgery Home | About us | Editorial Board | Ahead of print | Current issue | Back issues | Search | Instructions | Subscribe | Login 
Users online: 90 Wide layout Narrow layout Full screen layout Print this pageEmail this pageSmall font sizeDefault font sizeIncrease font size
ORIGINAL ARTICLE
Year : 2009  |  Volume : 1  |  Issue : 1  |  Page : 34-39

Total laparoscopic hysterectomy for large uterus


Beams Hospital, Mumbai - 400 052, India

Correspondence Address:
Meenakshi Sundaram
Beams Hospital, 674, 16th Cross Road, Behind Khar Gymkhana, Khar (West), Mumbai - 400052
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-1216.51908

Rights and Permissions

Aim: In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighing more than 500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number and location of the myomas. Design: Retrospective review (Canadian Task Force Classification II-1) Setting: Dedicated high volume Gynecological laparoscopy centre. Patients: 173 women with symptomatic myomas who underwent total laparoscopic hysterectomy at our center. There were no exclusion criteria based on the size number or location of myomas. Intervention: Total laparoscopic hysterectomy and modifications of performing the surgery by ligating the uterine arteries prior, myomectomy followed by hysterectomy, direct morcellation after uterine artery ligation. Results: 72% of patients had previous normal vaginal delivery and 28% had previous cesarean section. Average clinical size of the uterus was 18 weeks (10, 32). The average weight of the specimen was 700 grams (500, 2240). The average duration of surgery was 107 min (40, 300) and the average blood loss was 228 ml (10, 3200). Conclusion: Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed9599    
    Printed384    
    Emailed8    
    PDF Downloaded729    
    Comments [Add]    
    Cited by others 5    

Recommend this journal