Total laparoscopic hysterectomy in the grossly enlarged uterus

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Abstract

Introduction: Avoiding laparotomy by performing laparoscopic hysterectomy, of various types, has been shown to be beneficial in a number of ways. Shorter recovery times, shorter length of hospital stay and convalescence period, and earlier return to work than after abdominal hysterectomy are some of the positive factors cited. However, it is often considered that there is a size limitation of 14-16 weeks’ gestation to the feasibility of laparoscopic hysterectomy. Whilst a number of studies have shown that the laparoscopic-assisted vaginal hysterectomy (LAVH) successfully manages the large uterus, little has been published regarding a total laparoscopic approach.

About the authors

R. Botchorishvili

Polyclinique de L’Hotel-Dieu, BD Leon Malfreyt

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 63058 Clermont-Ferrand

B. Rabischong

Polyclinique de L’Hotel-Dieu, BD Leon Malfreyt

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 63058 Clermont-Ferrand

К. Jardon

Polyclinique de L’Hotel-Dieu, BD Leon Malfreyt

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 63058 Clermont-Ferrand

J. L. Pouly

Polyclinique de L’Hotel-Dieu, BD Leon Malfreyt

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 63058 Clermont-Ferrand

G. Mage

Polyclinique de L’Hotel-Dieu, BD Leon Malfreyt

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 63058 Clermont-Ferrand

А. Wattiez

C.H.U. Hautepierre

Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 67098 Strasbourg

М. Canis

C.H.U. Hautepierre

Author for correspondence.
Email: info@eco-vector.com

Department of Obstetrics and Gynecology

France, 67098 Strasbourg

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