Article: Incision, special tools aid minilaparotomy success. (Series of 30 Cases).

ORLANDO, FLA. -- Specialized tools and a properly executed incision are key in performing a minilaparotomy for large fibroid uteri or significant adnexal pathology when a vaginal hysterectomy is contraindicated, results of a feasibility study suggest.

Dr. Marco A. Pelosi II, a gynecologic surgeon in Bayonne, N.J., described the procedure at a meeting of the One Kilo Club. He said he has performed 30 minilaparotomies either in patients with uteri weighing 750 g or more or in those having very large benign cysts, he said.

Mean operating time in his feasibility study was 30 minutes, with no patient requiring a hospital stay of longer than 36 hours. Women ...

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