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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (1): 134-136    DOI: 10.12891/ceog2029.2016
Case Report Previous articles | Next articles
Laparoscopic subtotal hysterectomy due to giant uterine fibroids: a case report
J.Y. Ruan1, H.Q. Chen1, Y.H. Gong1, G. Shi1, H. Wang1, *()
1Department of Obstetrics and Gynecology, West China Second University Hospital, Sichuan University, Chengdu (China)
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Abstract  
The laparoscopic subtotal hysterectomy (LSH) was given to a patient whose uterus was about seven-month pregnanacy because of fibroids. The biggest problem was the operation space and visual field was too narrow. Different from the usual procedure we do, we morcellated the uterus at the beginning to expand the space. Loop ligature of the uterine isthmus was adopted to block uterine ateries before morcellating the uterus. After the adnexa exposed totally, we started to cut off the round ligaments, proper ligaments and fallopian tubes like usual. It was the first time we did LSH for so giant uterus in our hospital, although which was usually suitable for the uterus smaller than four- month pregnancy. But if the uterine ateries can be blocked effectively at the beginning, the uterus can be morcellated and the space will be enlarged. The laparoscopic subtotal hysterectomy will also be completed successfully.
Key words:  Laparoscopic subtotal hysterectomy      Uterine fibroids      Loop ligature     
Published:  10 February 2016     
*Corresponding Author(s):  H. WANG     E-mail:  jiajiashinging@163.com

Cite this article: 

J.Y. Ruan, H.Q. Chen, Y.H. Gong, G. Shi, H. Wang. Laparoscopic subtotal hysterectomy due to giant uterine fibroids: a case report. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(1): 134-136.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog2029.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I1/134

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