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Updated: Jun 8, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Total laparoscopic hysterectomy for uteri over one kilogram
M Sami Walid1, Richard L Heaton
1Medical Center of Central Georgia, 840 Pine St, Suite 880, Macon, GA 31201, USA. mswalid@yahoo.com
Introduction:
Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight.
Materials And Methods:
An intent-to-treat study.
Results:
From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdominal hysterectomy, one patient had laparoscopically assisted vaginal hysterectomy, and 8 patients had total laparoscopic hysterectomy. The last 6 cases were total laparoscopic hysterectomy cases.
Conclusion:
With experience and specialized techniques, total laparoscopic hysterectomy can replace abdominal hysterectomy for large uteri.
