Clinical Background: A 67-year-old patient was referred with a fibroid uterus, abdominal pain and constipation. MRI showed six uterine fibroids ranging in size between 10mm-30mm. The patient’s cervical screening test was normal.
Operation: Laparoscopic subtotal hysterectomy (cervix was left), bilateral salpingo-oophorectomy (removal of the tubes and ovaries), morcellation of the fibroids in Espiner bag (to prevent spreading fibroid tissues in the abdominal cavity) and cystoscopy (camera in the bladder).
Histopathology: Histopathology showed benign fibroids and endometriosis. The tubes and ovaries were normal.
Postoperative Recovery: The patient’s symptoms have improved significantly including pain and constipation. All laparoscopic wounds have healed.