Vaginal extraction of large uteri with the Alexis retractor.

Removal of large uteri via minimally invasive methods propose a number of challenges that can be diminished by technique, instrumentation, and skill of the surgeon. We propose that the Alexis Wound Retraction System, initially designed for circumferential and atraumatic retraction during abdominal surgery, is a viable alternative to standard retraction techniques when large uteri are removed vaginally.