[Laparoscopic hysterectomy in very large uterus]

Laparoscopic hysterectomy is an efficient alternative to vaginal hysterectomy when the vaginal approach is difficult. In patients presenting very large uterus or large lateral myomas, the primary uterine arteries coagulation at their origins allow a safe laparoscopic hysterectomy. We report this surgical procedure carried out without incidents in three cases when uterus weighed more than 700 g and suggest the primary uterine arteries approach by retrograde umbilical tracking in large benign uterus.