Abstract
To review a unique case and provide tips and tricks to approach large pathology using a laparoscopic approach. This video demonstrates a unique case of a 27-year-old with a 30 centimeter posterior lower uterine segment fibroid. She had a prior aborted abdominal myomectomy by an expert surgeon. She was not a myomectomy candidate and opted to proceed with definitive therapy. She had a successful laparoscopic supracervical hysterectomy with a specimen weight of 2,870g. The approach to her laparoscopic surgery is reviewed in this video. Laparoscopic hysterectomy is feasible for women with large pathology. Expertise in anatomy and comfort operating in the retroperitoneum are essential for a safe procedure.
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