Instructions
You are an intern in the gynaecology clinic. Folake Oyelaran, 46, has heavy menstrual bleeding from fibroids despite a hormonal IUD and tranexamic acid. She has chosen a total laparoscopic hysterectomy with removal of both tubes, keeping her ovaries.
Obtain informed consent for a total laparoscopic hysterectomy
- You do not need to take a history or examine the patient
Investigations
Ultrasound: bulky uterus, three intramural fibroids, largest 6 cm. Hb 108; ferritin 12. Cervical screening 2 years ago normal.