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Laparoscopic Supracervical Hysterectomy with Transcervical Morcellation (LSH-TM): our experience

Authors
Journal
Journal of Minimally Invasive Gynecology
1553-4650
Publisher
Elsevier
Identifiers
DOI: 10.1016/j.jmig.2014.09.013
Keywords
  • Laparoscopy
  • Supracervical Hysterectomy
  • Fibroids
  • Transcervical Morcellation
  • Gynaecologic Benign Diseases
  • Adenomyosis
Disciplines
  • Ecology
  • Medicine

Abstract

Abstract Study Objective To present our experience with laparoscopic supracervical hysterectomy with transcervical morcellation (LSH-TM). Design Retrospective observational study. Design Classification: Canadian Task Force Classification III. Setting Gynecologic Department at Brunico Hospital, Italy. Patients 365 patients affected by gynaecological benign diseases who underwent LSH-TM. Interventions A minimally invasive surgical technique for supracervical hysterectomy that involves the extraction of the morcellated uterus through the cervical canal. Measurements and Main Results We performed LSH-TM successfully in 365 patients; mean operating time was 72.24 minutes (± 23.21 SD); we registered no intraoperative complications. Post-operative main complications resulted in two case of laparoscopic second look due to an internal bleeding, five cases of asymptomatic hematoma around the cervical stump, and seven cases of pelvic pain. Conclusions Our experience shows that LSH-TM is a safe and easy to perform technique, and that it ensures minimal blood loss.

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