It is feasible to offer laparoscopically approach hysterectomy with contained morcelation even with huge uteri

Multiple studies show improved outcomes of laparoscopic hysterectomy compared to laparotomy, including decreased blood loss, shorter hospitalization and faster recovery. These outcomes are preserved even with longer operative time. Huge uteri make minimally invasive surgery technically challenging. Due to the risk of leiomyosarcoma in a presumed benign uterus, we offer patients contained morcellation as part of the minimally invasive approach. Very few publications describe the technical challenges of laparoscopic surgery for very large uteri, particularly if contained morcellation is planned.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Source Type: research