Clinical Practice

Gynecological Surgery

, Volume 8, Issue 2, pp 157-159

First online:

Total laparoscopic extirpation of a fixed uterus from benign gynecological disease

  • M. Sami WalidAffiliated withMedical Center of Central Georgia
  • , Richard L. HeatonAffiliated withHeart of Georgia Women’s Center Email author 

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Frequently, a fixed pelvis is encountered that is caused by a benign disease, either severe endometriosis or severe adhesions with or without fibroid uterus. We present two cases of nulligravida and multiparous women who had absolute frozen pelvises with no motion whatsoever of their pelvic structures on bimanual examination. Conventionally, these patients would have been approached by open hysterectomy only. We do not consider a frozen pelvis from what appears to be a benign case a contraindication to the laparoscopic approach.


Fixed pelvis Impacted uterus Retroverted uterus Obliterated cul-de-sac Adhesions Endometriosis Laparoscopic hysterectomy