Abdominal Versus Vaginal Bisection in Laparoscopic Hysterectomy

Abdominal Versus Vaginal Uterine Bisection for Retrieval of Large Uteri During Laparoscopic Hysterectomy: A Randomized Controlled Study

Large uteri present a challenge during Total lap.hysterectomy and its extraction is another challenge. This study addressees and compare 2 methods of retrieval of large uteri

Despite a number of publications about TLH for large uterus, few surgeons have compared the results of their technique of TLH through the vagina or abdominal bisection. The aim of this study was to compare the clinical results of TLH for large uterus through transvaginal or abdominal bisection approaches after strict preoperative assessment.

Inclusion Criteria:

• large uterus ≥ 12weeks,
• benign pathology,
• mobile uterus
• BMI less than 30kg/m2

Exclusion Criteria:

• unfit for laparoscopy,
• Extensive pelvic adhesions,
• Extensive endometriosis
• malignancy
• virgin cases