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Open Access 01-12-2017 | Case report

Laparoscopic removal of a very large uterus weighting 5320 g is feasible and safe: a case report

Authors: Antonio Macciò, Paraskevas Kotsonis, Fabrizio Lavra, Giacomo Chiappe, Daniela Sanna, Fausto Zamboni, Clelia Madeddu

Published in: BMC Surgery | Issue 1/2017

Abstract

Background

Total laparoscopic hysterectomy (TLH) has demonstrated to be feasible and safe in the presence of very large uteri. However, it is currently difficult to establish the upper uterine weight limit for successful performance of a laparoscopic hysterectomy.

Case presentation

Here we report the case of a TLH performed for a very large fibromatous uteri weighing 5320 g in a 40-year-old Caucasian woman. The surgery had no complications with an operating time of approximately 220 min. The patient was discharged from the hospital on postoperative day 3 in very good condition. To our knowledge, the present paper is the only to describe a uterus of this size removed by laparoscopic hysterectomy.

Conclusions

Our case demonstrates that uterine size is not a determinant for a final surgical decision to use laparoscopic hysterectomy. Therefore, if not contraindicated by the patient’s comorbidities or peculiar anatomical conditions, we believe that laparoscopic hysterectomy could be performed in the presence of large uteri without hypothetical weight limits.

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Title: Laparoscopic removal of a very large uterus weighting 5320 g is feasible and safe: a case report
Authors: Antonio Macciò
Paraskevas Kotsonis
Fabrizio Lavra
Giacomo Chiappe
Daniela Sanna
Fausto Zamboni
Clelia Madeddu
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: BMC Surgery / Issue 1/2017
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-017-0248-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic removal of a very large uterus weighting 5320 g is feasible and safe: a case report

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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