About Video

In this video case of 52-years-old female patient, present complaints menorrhagia since 10 months. Preoperative diagnosis: multiple fibroid uterus Surgical procedure: Uterus is asymmetrically enlarged having multiple fibroids. UV pouch and pouch of Douglas is normal. Bilateral round ligaments, ovarian ligaments and right fallopian tube are tackled with Enseal PTC one-by-one. Uterovesical fold opened with Enseal PTC and bladder pushed downward. Anterior and posterior leaves of broad ligament opened and uterine vessels skeletonized. Bilateral uterine vessels tackled with Enseal PTC. Both ovaries normal hence retained. A Clermont Ferrand uterine manipulator play a very important role at the time of colpotomy. As it makes the vaginal fornices prominent over which monopolar hook works in a circumferential manner and vault is opened up. As the uterus is large, so uterine morcellation done to reduce the bulk and then remaining uterus is taken out through vaginal end. Vault closure and uterosacral suspension done with vicryl 1-0 in continuous manner. Double layer closure done utilizing KOH needle holders used in an ipsilateral manner from the left sided ports.