title: Total laparoscopic hysterectomy of an uterus of 1840 grams: a case report.
abstract: This case report describes a total laparoscopic hysterectomy of a large uterus of a woman who recently underwent neurosurgery for a grade IV glioblastoma. Because of a severe anaemia due to chronic vaginal haemorrhage for a fibromatosis uterus, she was not able to start a chemotherapic oncological protocol. We thus decided to perform a total hysterectomy through a laparoscopic approach in order to reduce the hospital stay and to ensure a quick recovery. We studied a surgical but also anaesthesiological strategy in order to obtain a good result with no or as few as possible complications.
authors.affiliation: Obstetrics/Gynecology Department University Hospital of Parma, Italy. martino.rolla@yahoo.it
authors.forename: Martino
authors.initials: M
authors.lastname: Rolla
authors.forename: Maria Lucia
authors.initials: ML
authors.lastname: Gagliardi
authors.forename: Loredana
authors.initials: L
authors.lastname: Giacomantonio
authors.forename: Marcello
authors.initials: M
authors.lastname: Cecaroni
authors.forename: Francesco
authors.initials: F
authors.lastname: Bruni
authors.forename: Luca
authors.initials: L
authors.lastname: Minelli
mesh_terms: D001932:Brain Neoplasms / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D005909:Glioblastoma / Q000453:epidemiology; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D007889:Leiomyoma / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D007902:Length of Stay; D008875:Middle Aged; D009929:Organ Size; D014594:Uterine Neoplasms / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery*; D014621:Vagina / Q000473:pathology*