Dr. Lum is Clinical Assistant Professor, Department of Obstetrics and Gynecology, and Director, Minimally Invasive Gynecologic Surgery, Stanford University, Stanford, California.
The author reports no financial relationships relevant to this video.
Brought to you by the Society of Gynecologic Surgeons.In this video, the author describes surgical approaches to laparoscopic hysterectomy of a very large uterus (>2.5 kg). Preoperative strategies include the use of radial artery–uterine artery embolization, magnetic resonance imaging (MRI), and a gonadotropin-releasing hormone agonist (GnRH agonist). Intraoperative techniques include use of ureteral stents, securing the uterine artery at its origin, and maximizing port placement to allow for visualization and tissue extraction.