2916 Laparoscopic Techniques for Open Hysterectomy

Abstract

Video Objective We propose the use of laparoscopic techniques in an open hysterectomy for a large multi fibroid uterus to decrease operating time, increase visualization, and decrease trauma. Setting 53 y/o G4P3 presented c/o severe abdominal pain and heavy vaginal bleeding. Patient presented to multiple emergency departments due to pain and bleeding. Found to have multi-fibroid uterus with one predominant degenerating fibroid. Pt desired definitive surgical management but due to the size of the uterus, it required an open technique. Pt was admitted to the hospital for pain control and surgical management. Interventions Total abdominal hysterectomy with laparoscopic techniques. Conclusion Using laparoscopic techniques in an open hysterectomy can improve visualization and allow us to take advantage of the benefits of laparoscopic surgery when dealing with a large fibroid uterus.