The laparoscopic approach to uterine disorders requires greater skills and expertise but may be associated with longer operating times, and complications when compared to the abdominal approaches. Of the potential complications during laparoscopic hysterectomies, ureteric injures are of a major concern. We report on three ureteric injuries encountered during total laparoscopic hysterectomy and review the relevant literature.

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summary a 37 year old para 0 + 0 presented with abdominal pain and progressive abdominal swelling. she had no menstrual complains. Abdominal examination revealed a large 30 week non-tender, firm and mobile mass. A pelvic / abdominal ultrasound confirmed a 15.7 x 9.9 cm pedunculated fibroid arising from the uterine fundus. a laparoscopic myomectomy was successfully undertaken, and the morcellated fragments weighed 1490 grams.