title: Dilation of the vaginal cuff using the Bakri Postpartum Balloon to extract the large uterus at the time of robotic hysterectomy for endometrial carcinoma.
abstract: Removal of large uterine specimens during robotic or total laparoscopic hysterectomy poses surgical challenges, particularly in cases performed for gynecologic malignancy. A 23-year-old patient with endometrioid adenocarcinoma of the endometrium underwent robotic total laparoscopic hysterectomy with bilateral salpingo-oophorectomy. The large uterine specimen was removed by dilating the colpotomy incision using the Bakri Postpartum Balloon™. Dilation of the colpotomy incision with the uterine tamponade balloon can allow for the intact removal of a large uterine specimen in cases of robotic or total laparoscopic hysterectomy performed for gynecologic malignancy when specimen morcellation is contraindicated.
authors.affiliation: Department of Obstetrics and Gynecology, West Virginia University, 1 Medical Center Drive, PO Box 9186, Morgantown, WV, 26506-9186, USA. USNPanther@yahoo.com.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Stitely
authors.affiliation: Department of Obstetrics and Gynecology, West Virginia University, 1 Medical Center Drive, PO Box 9186, Morgantown, WV, 26506-9186, USA.
authors.forename: Younes N
authors.initials: YN
authors.lastname: Bakri
keywords: Bakri Postpartum Balloon; Endometrial carcinoma; Robotic hysterectomy; Specimen removal; Vaginal cuff dilation