OBJECTIVE: To demonstrate how the suprapubic port can be utilized as an operative port as well as an assistant port for laparoscopic hysterectomy. DESCRIPTION: The size of the uterus is often a limiting factor to many surgeons when deciding whether a patient is a candidate for laparoscopic hysterectomy. The size of the uterus becomes less important if the surgeon is able to manipulate the uterus in order to gain access to the necessary structures. This video demonstrates the utility of the suprapubic port as both an operative port as well as an assistant port at varying steps in the operation, thus allowing excellent visualization and access to the necessary structures during the surgery. With this technique, almost any size uterus can be approached laparoscopically. CONCLUSION: The suprapubic port is the key access point in laparoscopic hysterectomy with an enlarged uterus.
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