Journal of Surgery (ISSN: 2575-9760)

case report

A Mini-Laparotomy Hysterectomy for A Large Fibroid Uterus (>2850 Gm) Using A Modified “Paper Roll” Morcellation Technique - A Case Report

Felix Wong1*, Thomas Li2, Eric Lee3

*Corresponding Author: Felix Wong, Department of Obstetrics and Gynaecology, School of Women’s and Children’s Health, The University of New South Wales, Sydney, Australia.

Received Date: 02 October, 2021

Accepted Date: 18 October, 2021

Published Date: 21 October, 2021


The paper described a minimally invasive “paper roll” morcellation technique of minilaparotomy hysterectomy as a new modality to remove a very large fibroid uterus. The surgical procedure combines the technical benefits of conventional laparotomy together with the advantages of rapid convalescence and cosmetic advantages. When dealing with a very large fibroid uterus, laparoscopic or vaginal hysterectomy is considered difficult or contraindicated. This minilaparotomy approach offers a safe and effective surgical alternative. This surgical approach relies on traditional open techniques and appropriate surgery steps described in this paper to complete the hysterectomy and avoids the need for expensive equipment, demanding laparoscopic skill, and prolonged operating time that are associated with minimally invasive surgery, but without the disadvantages of a standard laparotomy.

Keywords: Hysterectomy; Large fibroid; Minilaparotomy; Paper roll morcellation technique

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