Total laparoscopic removal of huge uterus using the Ligasure™ device, classical bipolar and barbed V-Loc™ suture
Epublication WebSurg.com, Dec 2011;11(12). URL: http://websurg.com/doi/vd01en3313
We present the case of a 54-year-old woman with pelvic pain. The ultrasound shows a huge uterus with multiple fibroids. The abdominal exploration shows a uterus size equivalent to a 24-week gestation. In this video, we demonstrate that total laparoscopic hysterectomy can be performed without too much difficulty despite uterine size, thanks to alternative technologies such as a Ligasure™ device, barbed suture and Clermont-Ferrand uterine manipulator. An adequate knowledge of the anatomy and surgical technique is necessary for this procedure.