A novel and effective technique to exteriorise large uteri during laparotomic hysterectomy and myomectomy

Abstract

Laparotomic hysterectomy commonly referred to as abdominal hysterectomy becomes an especially challenging procedure in large uteri namely size equivalent or larger than 20 weeks size gravid uterus. The biggest challenge in such cases is to exteriorize the uterus from the incision prior to starting with the surgical steps. This case report demonstrates the use of a silastic vacuum cup with a vacuum machine to facilitate the exteriorization of uterus from a regular Pfannenstiel incision.