Safe laparoscopic removal of a 3200 gram fibroid uterus

JSLS. 2010 Oct-Dec;14(4):600-2. doi: 10.4293/108680810X12924466008169.


Background and objectives: Hysterectomy using minimally invasive techniques yields fewer complications, less blood loss, and quicker recovery time compared with traditional abdominal hysterectomy. Despite these advantages, 65% of all hysterectomies in the United States are still performed using traditional laparotomy, and many clinicians still exclude patients with a history of prior abdominal surgery, significant obesity, or a large fibroid uterus from these procedures. Among physicians skilled in minimally invasive surgery, the prior largest uteri removed included a 2421g uterus removed vaginally, and a 2418g uterus removed via hand-assisted laparoscopic hysterectomy.

Methods: We performed a laparoscopic-assisted hysterectomy on a significantly obese 50-year-old woman with a 3200g uterus. The patient required a 2-day hospital stay and recovered unremarkably. The patient was able to return to work within one week and quickly returned to activities of daily life.

Conclusion: In the hands of experienced minimally invasive surgeons, laparotomy can be avoided in almost all instances of hysterectomy for benign disease.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Endosonography
  • Female
  • Humans
  • Hysterectomy / methods*
  • Laparoscopy / methods*
  • Leiomyoma / diagnosis
  • Leiomyoma / surgery*
  • Middle Aged
  • Severity of Illness Index
  • Tomography, X-Ray Computed