Case Reports in Surgery and Invasive Procedures

Laparoscopic Supracervical Hysterectomy

Data from existing literature are discussed, and suggestions for improving morbidity and mortality are presented.

The benefits of laparoscopic hysterectomy compared with an open abdominal approach are well documented (less postoperative pain, better cosmetic results, fewer wound infections and earlier discharge from hospital).1 However, nearly  less invasive and carries a lower risk of ureteric injuries and infectious complications compared with total laparoscopic hysterectomy (TLH).4-6 Opponents of LSH, however, are concerned with the persistent risk of cervical stump symptoms such as vaginal bleeding and pelvic pain following the supracervical hysterectomy, causing patient distress and eventually repeated surgery.7 The incidence of cervical cancer after subtotal hysterectomy is so low in countries with routine cervical screening programmes, that there is no justification for removal of the cervix on this basis

 Hysterectomies are used to treat problems of the uterus, including fibroids, endometriosis, pelvic support problems, abnormal uterine bleeding, cancer, and chronic pelvic pain, among others.