title: No more abdominal hysterectomy for myomata using a new minimally-invasive technique.
abstract: To perform hysterectomy in uterus myomatosus, there are several surgical techniques. For a uterine weight of >1000 g, after a caesarean section and in nullipara per vaginam, the most common surgical technique for hysterectomy in patients is hysterectomy per laparotomiam. A new endoscopical technique developed to treat such patients and to avoid laparotomy is described in this case report: the laparoscopic combined hysterectomy (LACH) using the change-over technique. Adhesiolysis, preparation of the ureters and the bladder and morcellation of the uterus of 2480 g were performed minimally-invasive in two steps, from one side of the patient with a change-over of the OP-team to the other side of the patient. The cervix was removed per vaginam.
authors.affiliation: Department of Obstetrics and Gynecology, Pius-Clinic, Oldenburg, Germany.
authors.forename: G
authors.initials: G
authors.lastname: Tchartchian
authors.forename: J
authors.initials: J
authors.lastname: Dietzel
authors.forename: B
authors.initials: B
authors.lastname: Bojahr
authors.forename: A
authors.initials: A
authors.lastname: Hackethal
authors.forename: R L
authors.initials: RL
authors.lastname: De Wilde
references.citation: J Minim Invasive Gynecol. 2007 Mar-Apr;14(2):145-52
references.pmid: 17368247
references.citation: J Minim Invasive Gynecol. 2009 Sep-Oct;16(5):581-8
references.pmid: 19835801