Total Abdominal Hysterectomy for a 36 Weeks Size Fibroid Uterus through a Supra Pubic Transverse Incision

Introduction: Uterine fibroids are the commonest Gynecological benign tumor which affect reproductive age women. Surgical management of large fibroid uterus create multiple challenges to both surgeon and the patient. This is a cases of 36 weeks size fibroid uterus, grown up to the level of xiphisternum which treated with total abdominal hysterectomy through a suprapubic transverse incision. Case: 45-year-old, previously healthy multi-parous women presented with progressive abdominal distention for one to two years. Clinical and Ultrasound scan confirmed the fibroid uterus. She successfully underwent total abdominal hysterectomy through a supra-pubic transverse incision. Conclusion: Management of a fibroid uterus depends on patient’s age, fertility wishes, uterine preserving desires, symptomatology, site and size of the fibroids. Successful hysterectomy can be done through a supra-pubic transverse incision even for a 36 weeks size fibroid uterus in carefully selected cases.