Minimally invasive surgery for fibroids

A 59-year-old postmenopausal woman is referred to the gynaecological oncology department for enlarging fibroids.

Examination reveals a BMI of 26 with a palpable abdominal mass. She is referred for a pelvic MRI as part of a preoperative workup (figure 1). The MRI demonstrates multiple fibroids, some up to 10cm in size.

She opts for surgical management over surveillance, specifically requesting a minimally invasive approach.

Using a laparoscopic approach (figure 2), the uterus is excised intact and placed into a laparoscopic bag. Manual morcellation (cutting up into small