Large uterus: what is the limit for a laparoscopic approach?
Hysterectomy is the most common surgical gynecologic procedure, which is frequently related to the treatment of leiomyoma. The laparoscopic hysterectomy is associated with a shorter hospital stay, fewer infection rates, and a faster return to daily activities. Most gynecologists do not recommend a h...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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University of São Paulo
2016-03-01
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| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/116326 |
| _version_ | 1824011906117009408 |
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| author | Beatriz H. Kehde Bruno J. van Herendael Benedictus Tas Deepika Jain Karine Helsen Lisbeth Jochems |
| author_facet | Beatriz H. Kehde Bruno J. van Herendael Benedictus Tas Deepika Jain Karine Helsen Lisbeth Jochems |
| author_sort | Beatriz H. Kehde |
| collection | DOAJ |
| description | Hysterectomy is the most common surgical gynecologic procedure, which is frequently related to the treatment of leiomyoma. The laparoscopic hysterectomy is associated with a shorter hospital stay, fewer infection rates, and a faster return to daily activities. Most gynecologists do not recommend a hysterectomy via the vagina or a laparoscopic-assisted vaginal hysterectomy (LAVH) in the case of a uterus weighing more than 300 g. This case report presents the case of an LAVH undertaken in a 43-year-old patient with a uterus weighing 2,800 g. There are no definite guidelines concerning the procedure for a large uterus, and the literature is vague regarding the best surgical procedure for these cases. The size of the uterus does not seem to be an absolute contraindication for endoscopic surgery. This procedure relies entirely on the surgeon’s ability |
| first_indexed | 2024-12-18T21:40:42Z |
| format | Article |
| id | doaj.art-77eb9c3cb1994511aeed65c7d5ab9c19 |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-18T21:40:42Z |
| publishDate | 2016-03-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-77eb9c3cb1994511aeed65c7d5ab9c192022-12-21T20:50:47ZengUniversity of São PauloAutopsy and Case Reports2236-19602016-03-016110.4322/acr.2016.025Large uterus: what is the limit for a laparoscopic approach?Beatriz H. Kehde0Bruno J. van Herendael1Benedictus Tas2Deepika Jain3Karine Helsen4Lisbeth Jochems5Santa Casa de Misericórdia de São Paulo. Department of Obstetrics and Gynecology - Endoscopic Training Centre – Antwerp – BelgiumEndoscopic Training Centre – Antwerp – Belgium - Sint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA StuivenbergSint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA StuivenbergEndoscopic Training Centre – Antwerp – Belgium - Anand Hospital, Beawar/Rajasthan. Department of Obstetrics and GynecologySint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA StuivenbergSint Erasmus Department Gynecological Endoscopic Surgery. Ziekenhuis Netwerk Antwerpen ZNA StuivenbergHysterectomy is the most common surgical gynecologic procedure, which is frequently related to the treatment of leiomyoma. The laparoscopic hysterectomy is associated with a shorter hospital stay, fewer infection rates, and a faster return to daily activities. Most gynecologists do not recommend a hysterectomy via the vagina or a laparoscopic-assisted vaginal hysterectomy (LAVH) in the case of a uterus weighing more than 300 g. This case report presents the case of an LAVH undertaken in a 43-year-old patient with a uterus weighing 2,800 g. There are no definite guidelines concerning the procedure for a large uterus, and the literature is vague regarding the best surgical procedure for these cases. The size of the uterus does not seem to be an absolute contraindication for endoscopic surgery. This procedure relies entirely on the surgeon’s abilityhttp://www.revistas.usp.br/autopsy/article/view/116326HysterectomyVaginalUterusLeiomyoma |
| spellingShingle | Beatriz H. Kehde Bruno J. van Herendael Benedictus Tas Deepika Jain Karine Helsen Lisbeth Jochems Large uterus: what is the limit for a laparoscopic approach? Autopsy and Case Reports Hysterectomy Vaginal Uterus Leiomyoma |
| title | Large uterus: what is the limit for a laparoscopic approach? |
| title_full | Large uterus: what is the limit for a laparoscopic approach? |
| title_fullStr | Large uterus: what is the limit for a laparoscopic approach? |
| title_full_unstemmed | Large uterus: what is the limit for a laparoscopic approach? |
| title_short | Large uterus: what is the limit for a laparoscopic approach? |
| title_sort | large uterus what is the limit for a laparoscopic approach |
| topic | Hysterectomy Vaginal Uterus Leiomyoma |
| url | http://www.revistas.usp.br/autopsy/article/view/116326 |
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