A 41-year-old woman was scheduled for hysterectomy for symptomatic uterine fibroids. A Foley catheter was placed, pelvic examination under anesthesia was performed and the vagina was prepped. She was to undergo concurrent left adrenalectomy for an aldosteronoma (see adrenalectomy), so a transabdominal approach through a midline incision was chosen.
The uterus was exposed and elevated with clamps on the roots of the uterine adnexa at the cornua on either side. The large, broad-based fibroid was exposed.
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