Florid Adenomyosis - Total Laparoscopic Hysterectomy

Symptoms

A 51 year old woman presented with severe dysmenorrhoea and menorrhagia.

Procedure

She requested a hysterectomy – and subsequently underwent a Total Laparoscopic Hysterectomy with removal of both tubes and ovaries.

Outcome

The pathology specimen revealed florid adenomyosis.

The laparoscopic view of uterus

Removing right Fallopian Tube

Dividing left Ovarian Vessels and removing left ovary

Dividing left Uterine Artery

The Vaginal Vault has been sutured – at the end of the procedure