Laparoscopic Subtotal Hysterectomy

  • Marie Ellström


The role of laparoscopic surgery is to be a substitute for abdominal surgery without creating new indications when using this new technique. It is therefore not possible to discuss laparoscopic subtotal hysterectomy (LSH) without commenting on the ongoing discussion about benefits and hazards of preserving the cervix.


Obstet Gynecol Vaginal Hysterectomy Abdominal Hysterectomy Total Laparoscopic Hysterectomy Total Hysterectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Virtanen H (1994) Sequelae of operations related to uterine removal. Thesis, Turku University, TurkuGoogle Scholar
  2. 2.
    The hospital discharge registry (1996) Centre for Epidemiology, Swedish Medical Board, StockholmGoogle Scholar
  3. 3.
    Wessey M, Villard-Mackintosh L, McPherson K et al (1992) The epidemiology of hysterectomy: findings in a large cohort study. Br J Obstet Gynecol 99: 402–407CrossRefGoogle Scholar
  4. 4.
    Sills E, Saini J, Applegate M et al (1998) Supracervical and total abdominal hysterectomy trends in New York State: 1990–1996. J Urban Health 75:903–910PubMedCrossRefGoogle Scholar
  5. 5.
    Masters W, Johnson V (1966) Human sexual response. Little, Brown and Co, BostonGoogle Scholar
  6. 6.
    Hasson H (1993) Cervical removal at hysterectomy for benign disease. Risks and benefits. J Reprod Med 38:781–789PubMedGoogle Scholar
  7. 7.
    Kilkku P (1983) Supravaginal uterine amputation vs hysterectomy. Effects on libido and orgasm. Acta Obstet Gynecol Scand 62:147–152PubMedCrossRefGoogle Scholar
  8. 8.
    Eicher W (1994) Totale und subtotale Hysterektomie. Arch Gynecol Obstet 255:S359-S366PubMedCrossRefGoogle Scholar
  9. 9.
    Alexander A, Naji A, Pinion S et al (1996) Randomised trial comparing hysterectomy with endometrial ablation for dysfunctional uterine bleeding: psychiatric and psychosocial aspects. BMJ 312:280–284PubMedGoogle Scholar
  10. 10.
    Crosignani P, Vercellini P, Apolone G et al (1997) Endometrial resection versus vaginal hysterectomy for menorrhagia: long-term clinical and quality of life outcomes. Am J Obstet Gynecol 177:95–101PubMedCrossRefGoogle Scholar
  11. 11.
    Strauss B, Jakel I, Koch-Dorfler M et al (1996) Psychiatric and sexual sequelae of hysterectomy - a comparison of different surgical methods. Geburtshilfe Frauenheilkd 56:473–481PubMedCrossRefGoogle Scholar
  12. 12.
    Helstrom L, Sorbom D, Backstrom T (1995) Influence of partner relationship on sexuality after subtotal hysterectomy. Acta Scand Obstet Gynecol 74:142–146CrossRefGoogle Scholar
  13. 13.
    Parys B, Haylen B, Hutton J et al (1989) The effect of simple hysterectomy on vesicourethral function. Br J Urol 64:594–599PubMedCrossRefGoogle Scholar
  14. 14.
    Virtanen H, Makinen J, Tenho T et al (1993) Effects of abdominal hysterectomy on urinary and sexual symptoms. Br J Urol 72:868–872PubMedCrossRefGoogle Scholar
  15. 15.
    Kilkku P (1985) Supravaginal uterine amputation versus hysterectomy with reference to subjective bladder symptoms and incontinence. Acta Obstet Gynecol Scand 64:375–379PubMedCrossRefGoogle Scholar
  16. 16.
    Lalos O, Bjerle P (1985) Early and late effects of subtotal and total hysterectomy on bladder function. Arch Gynecol 237:140–144Google Scholar
  17. 17.
    Bhattacharya S, Mollison J, Pinion S et al (1996) A comparison of bladder and ovarian function two years following hysterectomy or endometrial ablation. Br J Obstet Gynaecol 103:898–903PubMedCrossRefGoogle Scholar
  18. 18.
    Virtanen H, Makinen J (1993) Retrospective analysis of 711 patients operated on for pelvic relaxation in 1983–1989. Int J Gynecol Obstet 42:109–115CrossRefGoogle Scholar
  19. 19.
    Kilkku P, Gronroos M (1982) Preoperative electrocoagulation of the endocervical mucosa and later carcinoma of the cervical stump. Acta Obstet Gynecol Scand 62:265–267CrossRefGoogle Scholar
  20. 20.
    Storm H, Clemmensen I, Manders T et al (1992) Supravaginal uterine amputation in Denmark 1978–1988 and risk of cancer. Gynecol Oncol 45:198–201PubMedCrossRefGoogle Scholar
  21. 21.
    van der Stege J, van Beek J (1999) Problems related to the cervical stump at follow-up in laparoscopic supracervical hysterectomy. JSLS 3:335–336Google Scholar
  22. 22.
    Ewen S, Sutton C (1995) Advantages of laparoscopic supracervical hysterectomy. Bailliere’s Clin Obstet Gynaecol 4:707–714CrossRefGoogle Scholar
  23. 23.
    Garry R, Shelley-Jones D, Mooney P et al (1995) Six hundred endometrial laser ablations. Obstet Gynecol 85:24–29PubMedCrossRefGoogle Scholar
  24. 24.
    Nathorst Boos J, Fuchs T, von Schoultz B (1992) Consumer’s attitude to hysterectomy. The experience of 678 women. Acta Gynecol Scand 71:230–234CrossRefGoogle Scholar
  25. 25.
    Munro M, Parker W (1993) A classification system for laparoscopic hysterectomy. Obstet Gynecol 82:624–629.PubMedCrossRefGoogle Scholar
  26. 26.
    Semm K (1991) Hysterektomie per laparotomiam der per pelviskopiam ohne Kolpotomy. Geburtshilfe Frauenheilkd 51:996–1003.Google Scholar
  27. 27.
    Pelosi M, Pelosi M 3d (1992) Laparoscopic supracervical hysterectomy using a single umbilical puncture (mini-laparoscopy). J Reprod Med 37:777–784PubMedGoogle Scholar
  28. 28.
    Lyons T (1993) Laparoscopic supracervical hysterectomy. A comparison of morbidity and mortality results with laparoscopically assisted vaginal hysterectomy. J Reprod Med 38:763–767PubMedGoogle Scholar
  29. 29.
    Schwartz R (1994) Laparoscopic hysterectomy. Supracervical vs assisted vaginal. J Reprod Med 39:625–630.Google Scholar
  30. 30.
    Richards S, Simpkins S (1995) Laparoscopic supracervical hysterectomy versus laparoscopic-assisted vaginal hysterectomy. J Am Ass Gynecol Laparosc 2:431–435CrossRefGoogle Scholar
  31. 31.
    Lalonde C, Daniell J (1995) Early outcomes of laparoscopic-assisted vaginal hysterectomy versus laparoscopic supracervical hysterectomy. J Am Gynecol Laparosc 2:S24-S28CrossRefGoogle Scholar
  32. 32.
    Mettler L, Semm K (1997) Subtotal versus total laparoscopic hysterectomy. Acta Obstet Gynecol Scand 76:88–93.Google Scholar
  33. 33.
    Dong HK, Do H, Min H et al (1998) Comparison of classic intrafascial supracervical hysterectomy with total laparoscopic and laparoscopic-assisted vaginal hysterectomy. J Am Gynecol Laparosc 5:253–259CrossRefGoogle Scholar
  34. 34.
    Milad M, Morrison K, Sokol A et al (2001) A comparison of laparoscopic supracervical hysterectomy vs laparoscopically assisted vaginal hysterectomy. Surg Endosc 15:286–288PubMedCrossRefGoogle Scholar
  35. 35.
    Hefni M, El-Toukhy T (2000) Vaginal subtotal hysterectomy and sacrospinous colpopexy: an option in the management of uterine prolapse. Am J Obstet Gynecol 183:494–495PubMedCrossRefGoogle Scholar
  36. 36.
    Olsson JH, Ellström M, Hahlin M (1996) A randomised prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol 103:345–350PubMedCrossRefGoogle Scholar
  37. 37.
    Ellström M, Bengtsson A, Tylman M et al (1996) Evaluation of tissue trauma after laparoscopic and abdominal hysterectomy: measurements of neutrophil activation and release of interleukin-6 Cortisol and C-reactive protein. J Am Coll Surg 182:423–430PubMedGoogle Scholar
  38. 38.
    Ellström M, Fagevik Olsen M, Olsson JH et al (1998) Pain and pulmonary function following laparoscopic and abdominal hysterectomy: a randomized study. Acta Obstet Gynecol 77:923–928CrossRefGoogle Scholar
  39. 39.
    Ellström M, Ferraz-Nunez J, Olsson JH et al (1998) A randomized trial with a cost-consequence analysis after laparoscopic and abdominal hysterectomy. Obstet Gynecol 91:30–35PubMedCrossRefGoogle Scholar
  40. 40.
    Härkki Siren P, Sjöberg J, Tiitinen A (1998) Urinary tract injuries after hysterectomy. Obstet Gynecol 92:113–118CrossRefGoogle Scholar

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© Springer-Verlag London Limited 2003

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  • Marie Ellström

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